Cutting Balloon Angioplasty (CBA) for the Treatment of Renal Artery Fibromuscular Dysplasia (FMD) in Six Patients: 5-Year Long-Term Results

Cardiovasc Intervent Radiol. 2017 Apr;40(4):546-552. doi: 10.1007/s00270-016-1536-6. Epub 2016 Dec 29.

Abstract

Purpose: To evaluate long-term outcomes in terms of hypertension control, recurrent stenosis, and reinterventions from patients who underwent cutting balloon angioplasty (CBA) for symptomatic renal artery fibromuscular dysplasia (FMD).

Materials and methods: From 2011, six consecutive renal artery FMD women underwent CBA for poorly controlled hypertension, despite antihypertensive therapy. Follow-up consisted of blood pressure monitoring and duplex ultrasonography at 1, 6, and 12 months and thereafter annually for 5 years.

Results: All treatments were technically successful. Recurrence of hypertension was found in two patients within 12 months, and reinterventions were performed using CBA.

Conclusion: Results show the efficacy of CBA for renal artery FMD.

Keywords: Cutting balloon angioplasty (CBA); Hypertension; Renal artery fibromuscular dysplasia (FMD).

MeSH terms

  • Adult
  • Aged
  • Angioplasty, Balloon / methods*
  • Blood Pressure Determination
  • Female
  • Fibromuscular Dysplasia / diagnostic imaging
  • Fibromuscular Dysplasia / physiopathology
  • Fibromuscular Dysplasia / therapy*
  • Follow-Up Studies
  • Humans
  • Hypertension / diagnostic imaging
  • Hypertension / physiopathology
  • Hypertension / therapy
  • Middle Aged
  • Recurrence
  • Renal Artery / diagnostic imaging*
  • Renal Artery / physiopathology*
  • Retreatment
  • Treatment Outcome
  • Ultrasonography, Doppler, Duplex