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DOI: 10.1055/s-0039-1688459
Endovascular Treatment of Ruptured Vertebral Artery Dissecting Aneurysm in Fibromuscular Dysplasia
Tratamento endovascular de aneurisma dissecante roto de artéria vertebral na displasia fibromuscularPublication History
21 January 2019
20 March 2019
Publication Date:
23 May 2019 (online)
Abstract
Background Fibromuscular dysplasia (FMD) affects predominantly the cervical and renal arteries and may cause the classical angiographic pattern of string-of-beads. The diagnosis is increasing with the advances of imaging techniques.
Case Report A 37-year-old man presenting with subarachnoid hemorrhage due to a dissecting aneurysm of the vertebral artery was treated by angioplasty with stent, with good outcome. All of the cervical and renal arteries were diseased and showed dysplasia and/or ectasias.
Conclusions There are no guidelines or protocols to treat patients with FMD.
Resumo
Introdução A displasia fibromuscular (DFM) afeta predominantemente as artérias cervicais e renais e pode causar o padrão angiográfico clássico de cordão de contas. O diagnóstico tem aumentado com os avanços das técnicas de imagem.
Relato de Caso Homem de 37 anos, apresentando hemorragia subaracnoidea por aneurisma dissecante da artéria vertebral, foi tratado por angioplastia com stent, com bom resultado. Todas as artérias cervicais e renais estavam doentes e apresentavam displasia e / ou ectasias.
Conclusões Não existem diretrizes ou protocolos para o tratamento de pacientes com DFM.
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