Louis L. Smith, M. D. , Douglas C. Smith, M. D. , J. David Killeen, M

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Presentation transcript:

Operative balloon angioplasty in the treatment of internal carotid artery fibromuscular dysplasia Louis L. Smith, M.D., Douglas C. Smith, M.D., J.David Killeen, M.D., Anton N. Hasso, M.D. Journal of Vascular Surgery Volume 6, Issue 5, Pages 482-487 (November 1987) DOI: 10.1016/0741-5214(87)90307-7 Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Arteriogram reveals typical “beaded” appearance of fibromuscular dysplasia involving upper cervical portion of the internal carotid artery (arrows). Journal of Vascular Surgery 1987 6, 482-487DOI: (10.1016/0741-5214(87)90307-7) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 After operative balloon dilatation the internal carotid artery appears smoother. Journal of Vascular Surgery 1987 6, 482-487DOI: (10.1016/0741-5214(87)90307-7) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Arteriogram reveals not only typical “beads” and “webs” of fibromuscular dysplasia (arrows) but a prominent kink at the level of C-2 and C-3. Journal of Vascular Surgery 1987 6, 482-487DOI: (10.1016/0741-5214(87)90307-7) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 After operative balloon dilatation dysplastic deformities have resolved. Prominent kink is no longer present after segmental resection of the distal common carotid artery. Journal of Vascular Surgery 1987 6, 482-487DOI: (10.1016/0741-5214(87)90307-7) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 5 A prominent dissection (arrowheads) resulted from antegrade placement of the Intracath into the internal carotid artery for the operative arteriogram. Irregularity over its proximal 2 cm is also evident. Journal of Vascular Surgery 1987 6, 482-487DOI: (10.1016/0741-5214(87)90307-7) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 6 Spontaneous healing of the internal carotid artery is shown at 1 week. Journal of Vascular Surgery 1987 6, 482-487DOI: (10.1016/0741-5214(87)90307-7) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions