Citation, DOI, disclosures and case data
At the time the case was submitted for publication Prashant Gupta had no recorded disclosures.View Prashant Gupta's current disclosures
CT angiogram for a prospective renal donor.
Loading Stack -
0 images remaining
There is tandem narrowing seen in mid 1/3rd of both renal arteries resulting in a "string of beads" appearance. note that the ostium is spared and no atherosclerotic changes are seen in Aorta.
FMD is a group of nonatherosclerotic, noninflammatory arterial diseases that most commonly involve the renal and carotid arteries
Angiographic classification includes the multifocal type, with multiple stenoses and the 'string-of-beads' appearance that is related to medial FMD, and tubular and focal types, which are not clearly related to specific histological lesions
Multifocal stenoses with the 'string-of-beads' appearance are observed at angiography in more than 80% of cases, mostly in women aged between 30 and 50 years; they generally involve the middle and distal two-thirds of the main renal artery
- Plouin PF, Perdu J, La batide-alanore A et-al. Fibromuscular dysplasia. Orphanet J Rare Dis. 2007;2 : 28. doi:10.1186/1750-1172-2-28 - Free text at pubmed - Pubmed citation