Fibromuscular dysplasia with recurrence after “long-term” following percutaneous transcatheter renal angioplasty: two case reports with a review of 26 patients

Shuntaro Oribe, Takafumi Toyohara, Eikan Mishima, Takehiro Suzuki, Koichi Kikuchi, Shun Watanabe, Yoshiaki Morita, Hideki Ota, Kazumasa Seiji, Mariko Miyazaki, Kei Takase, Takaaki Abe

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Fibromuscular dysplasia (FMD) often causes renal artery stenosis with renovascular hypertension. Recent clinical outcomes encourage percutaneous transluminal renal angioplasty (PTRA) to treat FMD; however, the necessary follow-up period remains unclear. Moreover, previous studies have not revealed the difference in the period until recurrence between two major types of FMD—multifocal and focal. Case presentation: We describe two patients with multifocal FMD who developed hypertension during their teenage years and had recurrence of FMD > 10 years after PTRA. We further examined the types of FMD and age of onset in 26 patients who underwent PTRA. The period until recurrence of multifocal FMD was longer than that of focal FMD. Moreover, patients with early-onset multifocal FMD are likely to have a delayed recurrence after PTRA compared to other types. Conclusions: Our report suggests that patients with multifocal FMD, especially those with onset at an early age, may need long-term follow-up for at least ≥ 10 years.

Original languageEnglish
Article number187
JournalBMC Nephrology
Volume22
Issue number1
DOIs
Publication statusPublished - 2021 Dec

Keywords

  • Fibromuscular dysplasia
  • Focal FMD
  • Multifocal FMD
  • Percutaneous transcatheter renal angioplasty
  • Recurrence
  • Renal artery stenosis
  • Renovascular hypertension

ASJC Scopus subject areas

  • Nephrology

Fingerprint

Dive into the research topics of 'Fibromuscular dysplasia with recurrence after “long-term” following percutaneous transcatheter renal angioplasty: two case reports with a review of 26 patients'. Together they form a unique fingerprint.

Cite this