This protocol covers fibromuscular dysplasia (FMD) complicated by renal or visceral artery dissection — a recognised complication that can range from entirely silent to acutely symptomatic.
Renal or visceral artery dissection in FMD may be asymptomatic or present with distal thromboembolic events such as renal or splenic infarct. Identifying when active intervention is indicated is central to management of this presentation.
When intervention is required, management involves a procedural approach. The full protocol details the specific indications and the criteria that guide selection between the available options.
DOI: 10.1177/1358863X18821816
Renal or visceral artery dissection may be asymptomatic or present with distal thromboembolic events (e.g. renal or splenic infarct).
Interventional procedures for renal or visceral dissection are warranted if there is progressive end-organ malperfusion, progressive dissection over time, or secondary aneurysm.
Potential procedures include covered stent, coil embolization, or surgical repair.
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