PT - JOURNAL ARTICLE AU - Jeffrey W. Olin TI - Recognizing and managing fibromuscular dysplasia DP - 2007 Apr 01 TA - Cleveland Clinic Journal of Medicine PG - 273--282 VI - 74 IP - 4 4099 - http://www.ccjm.org/content/74/4/273.short 4100 - http://www.ccjm.org/content/74/4/273.full SO - Cleve Clin J Med2007 Apr 01; 74 AB - Fibromuscular dysplasia typically occurs in young women and most commonly presents with hypertension, transient ischemic attack, stroke, or an asymptomatic cervical bruit. The disease is nonatherosclerotic and noninflammatory and most often affects the renal and carotid arteries, although almost any artery can be involved. On angiography, affected blood vessels characteristically resemble a string of beads in the most common type of fibromuscular dysplasia, medial fibroplasia. Patients with renal artery stenosis and hypertension or renal impairment should be treated with percutaneous transluminal angioplasty without a stent. Patients with fibromuscular dysplasia of the internal carotid artery should also be treated with angioplasty if they develop focal neurologic symptoms such as a transient ischemic attack or stroke.