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Intimal dissection following percutaneous transluminal carotid angioplasty for fibromuscular dysplasia
Authors:R. Jooma  J. R. Bradshaw  H. B. Griffith
Affiliation:(1) Department of Neurological Surgery, Frenchay Hospital, Bristol, England;(2) Department of Neuroradiology, Frenchay Hospital, Bristol, England;(3) 205 E. I. Lines, Karachi 4, Pakistan
Abstract:Summary Fibromuscular dysplasia (FMD) is an unusual form of segmental arteriopathy and may affect the internal carotid artery (ICA). We report a case of carotid FMD in which percutaneous transluminal angioplasty (PTA) was complicated by an intimal tear and required surgical exploration. PTA is a useful form of treatment, but there is a risk of intimal dissection. If this occurs, it may be necessary to excise the intimal flap surgically.
Keywords:Fibromuscular dysplasia  carotid artery  percutaneous transluminal angioplasty  complication
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