What is the role of surgery in the treatment of fibromuscular dysplasia (FMD)?

Updated: Jul 27, 2018
  • Author: James A Wilson, MD, MSc, FRCPC; Chief Editor: Helmi L Lutsep, MD  more...
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Answer

Considerations for surgical treatment include the following:

  • Surgical vascular reconstruction of renal FMD has met with good success, [13] but the role of surgery in carotid and vertebrobasilar FMD is not well understood

  • With respect to stroke prophylaxis, the lesions in FMD are not amenable to endarterectomy; thus, surgical management is used as a last resort

  • A few cases with vascular graft placements and surgical bypass of FMD lesions have been reported

  • Aneurysms that may coexist with FMD should be managed in a similar manner to those that are not associated with FMD

  • Interventional radiologic management of FMD lesions may be suitable for some patients, especially those who are not good surgical candidates

See Treatment and Medication for more detail.


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