Copyright
©The Author(s) 2018.
World J Gastroenterol. Aug 28, 2018; 24(32): 3637-3649
Published online Aug 28, 2018. doi: 10.3748/wjg.v24.i32.3637
Published online Aug 28, 2018. doi: 10.3748/wjg.v24.i32.3637
Table 3 Clinical characteristic of the fibromuscular dysplasia and segmental arterial mediolysis
Fibromuscular dysplasia | Segmental arterial mediolysis | |
Gender | Female (9:1)[2] | No presentation[74] |
Age of presentation | Young to middle age[2] | No preference[74] |
Laboratory findings | No serological markers[74] | No serological markers[74] |
Risk factors | Smoking and extracranial arteries[4] | Hypoxia and shock or other vasoconstrictor stimuli[47] |
Vascular distribution | Renal and extracranial arteries[4] | Celiac and mesenteric arteries[48] |
CT | Alternating stenosis and aneurysms, less commonly dissections[38] | Dissections with alternating stenosis and aneurysms, dissecting aneurysms[48] |
Angiography | Beaded aneurysmal appearance (string-of-beads)[38] | Beaded aneurysmal appearance (string-of-beads)[38] |
Pathology | Fibrous or fibromuscular thickening of the arterial wall[38] | Vecuolization and lysis of the outer media[47] |
Symptoms | Renovascular hypertension, Headache, Pulsatile tinnitus[4] | Acute abdominal pain, Intraperitoneal bleeding[47] |
Treatment | Anti-platelet therapy and anti-hypertensive therapy. Balloon angioplasty and stenting[45] | Anti-hypertensive therapy and endovascular management, surgical management[74] |
- Citation: Ko M, Kamimura K, Ogawa K, Tominaga K, Sakamaki A, Kamimura H, Abe S, Mizuno K, Terai S. Diagnosis and management of fibromuscular dysplasia and segmental arterial mediolysis in gastroenterology field: A mini-review. World J Gastroenterol 2018; 24(32): 3637-3649
- URL: https://www.wjgnet.com/1007-9327/full/v24/i32/3637.htm
- DOI: https://dx.doi.org/10.3748/wjg.v24.i32.3637