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      Successful Treatment of Renovascular Hypertension due to Fibromuscular Dysplasia by Intravascular Ultrasound-Guided Atherectomy

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          Abstract

          A 22-year-old man presented with renovascular hypertension, based on a stenosis of the distal portion of the right renal artery with a ‘string of beads’-like appearance. An intravascular ultrasound image at the renal artery lesion revealed irregularity of the vascular wall. Directional atherectomy was performed and histopathology of atherectomised tissues showed medial fibroplasia, a common type of fibromuscular dysplasia. After atherectomy his hypertension was markedly improved. We report here a case of renovascular hypertension due to fibromuscular dysplasia, successfully diagnosed and treated with IVUS-guided renal atherectomy.

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          Most cited references 1

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          Renal-artery stenosis.

           S Textor,  R Safian (2001)
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            Author and article information

            Journal
            NEF
            Nephron
            10.1159/issn.1660-8151
            Nephron
            S. Karger AG
            1660-8151
            2235-3186
            2002
            July 2002
            01 July 2002
            : 91
            : 3
            : 521-525
            Affiliations
            Second Department of Internal Medicine, Gunma University School of Medicine, Maebashi, Gunma, Japan
            Article
            64301 Nephron 2002;91:521–525
            10.1159/000064301
            12119491
            © 2002 S. Karger AG, Basel

            Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

            Page count
            Figures: 3, References: 20, Pages: 5
            Product
            Self URI (application/pdf): https://www.karger.com/Article/Pdf/64301
            Categories
            Case Report

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