| CASE REPORT
|Year : 2020 | Volume
| Issue : 5 | Page : 1220--1223
Complications of Endovascular Treatment in Fibromuscular Dysplasia
Luana Antunes Maranha Gatto1, Diego do Monte Rodrigues Seabra2, Gelson Luis Koppe3, Zeferino Demartini1
1 Neurosurgeon and Interventional Neuroradiologist of Cajuru University Hospital of Pontifical Catholic University of Paraná (HUC-PUC PR), Curitiba – Parana, Brazil
2 Resident of Neurosurgery in HUC-PUC PR, Curitiba – Parana, Brazil
3 Head of Department of Interventional Neuroradiology of HUC-PUC PR, Curitiba – Parana, Brazil
Background: Fibromuscular dysplasia affects generally renal artery, causing renovascular hypertension. The most classical angiographic pattern, string-of-beads, can be found in cervical and more rarely in other arteries. With the advance of endovascular procedures techniques, the number of open surgeries is decreasing, and complications related to the selective catheterization of diseased vessels are increasing.
Case Report: A 37-year-old man presenting with subarachnoid hemorrhage was submitted to angioplasty for dissecting aneurysms of vertebral artery with a good outcome. Several arteries were angiographically diagnosed with the dysplasia (renal, carotid, femoral), and some complications like stenosis, dissection, arteriovenous fistula, and dissecting aneurysm occurred in sequence.
Conclusions: FMD of cervical arteries is usually asymptomatic. There are no guidelines or protocols to cervical FMD treatment, being indicated only for the complications. Because of the vessels fragility, a several spontaneous or post endovascular procedure complications can be disastrous.
Dr. Luana Antunes Maranha Gatto
Av. São Jose, 300, Cristo Rei. CEP - 80050-350, Curitiba – Parana
Source of Support: None, Conflict of Interest: None
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