Renal artery fibromuscular dysplasia in 2,640 renal donor subjects: A CT angiography analysis

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Abstract

Purpose: To present the incidence, demographics, and clinical presentation of patients diagnosed with renal fibromuscular dysplasia (FMD) who underwent computed tomography (CT) angiography for evaluation of living renal donor protocol. Methods and Materials: A retrospective review was performed from January 1, 2000, to December 31, 2011 on patients who underwent CT angiography for evaluation of living renal donor protocol. Of 2,640 patients identified, only patients with a diagnosis of FMD by the radiology report underwent independent reader evaluation of CT angiography for the presence of FMD and associated characteristics. The demographics, medical history, and presentation were reviewed using the electronic medical chart. Results: The independent readers who evaluated CT angiography identified a diagnosis of FMD in 68 patients (2.6%; 59 female) with an average age of 52 years ± 10. Unilateral FMD was observed in 46 patients (68%), and bilateral FMD was observed in 22 patients (32%). Three patients had aneurysms of the renal artery. Comorbidities included hypertension (n = 21, 31%), dyslipidemia, (n = 13, 19%), history of migraines (n = 3, 4%), and history of smoking (n = 14, 21%). No patients had diabetes mellitus, coronary artery disease, or family history of FMD. Of 21 patients (31%) with a history of hypertension, 13 patients (62%) were treated with antihypertensive medications. Conclusions: The incidence of FMD in patients who underwent CT angiography for evaluation of living renal donor protocol is 2.6%.

Original languageEnglish (US)
Pages (from-to)1477-1480
Number of pages4
JournalJournal of Vascular and Interventional Radiology
Volume24
Issue number10
DOIs
StatePublished - Oct 2013

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Fibromuscular Dysplasia
Renal Artery
Tissue Donors
Kidney
Living Donors
Computed Tomography Angiography
Medical Electronics
Demography
Hypertension
Incidence
Dyslipidemias
Migraine Disorders
Radiology
Antihypertensive Agents
Aneurysm
Comorbidity
Coronary Artery Disease

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

@article{b28623543d8849aa8763528cd75f35fd,
title = "Renal artery fibromuscular dysplasia in 2,640 renal donor subjects: A CT angiography analysis",
abstract = "Purpose: To present the incidence, demographics, and clinical presentation of patients diagnosed with renal fibromuscular dysplasia (FMD) who underwent computed tomography (CT) angiography for evaluation of living renal donor protocol. Methods and Materials: A retrospective review was performed from January 1, 2000, to December 31, 2011 on patients who underwent CT angiography for evaluation of living renal donor protocol. Of 2,640 patients identified, only patients with a diagnosis of FMD by the radiology report underwent independent reader evaluation of CT angiography for the presence of FMD and associated characteristics. The demographics, medical history, and presentation were reviewed using the electronic medical chart. Results: The independent readers who evaluated CT angiography identified a diagnosis of FMD in 68 patients (2.6{\%}; 59 female) with an average age of 52 years ± 10. Unilateral FMD was observed in 46 patients (68{\%}), and bilateral FMD was observed in 22 patients (32{\%}). Three patients had aneurysms of the renal artery. Comorbidities included hypertension (n = 21, 31{\%}), dyslipidemia, (n = 13, 19{\%}), history of migraines (n = 3, 4{\%}), and history of smoking (n = 14, 21{\%}). No patients had diabetes mellitus, coronary artery disease, or family history of FMD. Of 21 patients (31{\%}) with a history of hypertension, 13 patients (62{\%}) were treated with antihypertensive medications. Conclusions: The incidence of FMD in patients who underwent CT angiography for evaluation of living renal donor protocol is 2.6{\%}.",
author = "McKenzie, {Gavin A.} and Gustavo Oderich and Akira Kawashima and Sanjay Misra",
year = "2013",
month = "10",
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TY - JOUR

T1 - Renal artery fibromuscular dysplasia in 2,640 renal donor subjects

T2 - A CT angiography analysis

AU - McKenzie, Gavin A.

AU - Oderich, Gustavo

AU - Kawashima, Akira

AU - Misra, Sanjay

PY - 2013/10

Y1 - 2013/10

N2 - Purpose: To present the incidence, demographics, and clinical presentation of patients diagnosed with renal fibromuscular dysplasia (FMD) who underwent computed tomography (CT) angiography for evaluation of living renal donor protocol. Methods and Materials: A retrospective review was performed from January 1, 2000, to December 31, 2011 on patients who underwent CT angiography for evaluation of living renal donor protocol. Of 2,640 patients identified, only patients with a diagnosis of FMD by the radiology report underwent independent reader evaluation of CT angiography for the presence of FMD and associated characteristics. The demographics, medical history, and presentation were reviewed using the electronic medical chart. Results: The independent readers who evaluated CT angiography identified a diagnosis of FMD in 68 patients (2.6%; 59 female) with an average age of 52 years ± 10. Unilateral FMD was observed in 46 patients (68%), and bilateral FMD was observed in 22 patients (32%). Three patients had aneurysms of the renal artery. Comorbidities included hypertension (n = 21, 31%), dyslipidemia, (n = 13, 19%), history of migraines (n = 3, 4%), and history of smoking (n = 14, 21%). No patients had diabetes mellitus, coronary artery disease, or family history of FMD. Of 21 patients (31%) with a history of hypertension, 13 patients (62%) were treated with antihypertensive medications. Conclusions: The incidence of FMD in patients who underwent CT angiography for evaluation of living renal donor protocol is 2.6%.

AB - Purpose: To present the incidence, demographics, and clinical presentation of patients diagnosed with renal fibromuscular dysplasia (FMD) who underwent computed tomography (CT) angiography for evaluation of living renal donor protocol. Methods and Materials: A retrospective review was performed from January 1, 2000, to December 31, 2011 on patients who underwent CT angiography for evaluation of living renal donor protocol. Of 2,640 patients identified, only patients with a diagnosis of FMD by the radiology report underwent independent reader evaluation of CT angiography for the presence of FMD and associated characteristics. The demographics, medical history, and presentation were reviewed using the electronic medical chart. Results: The independent readers who evaluated CT angiography identified a diagnosis of FMD in 68 patients (2.6%; 59 female) with an average age of 52 years ± 10. Unilateral FMD was observed in 46 patients (68%), and bilateral FMD was observed in 22 patients (32%). Three patients had aneurysms of the renal artery. Comorbidities included hypertension (n = 21, 31%), dyslipidemia, (n = 13, 19%), history of migraines (n = 3, 4%), and history of smoking (n = 14, 21%). No patients had diabetes mellitus, coronary artery disease, or family history of FMD. Of 21 patients (31%) with a history of hypertension, 13 patients (62%) were treated with antihypertensive medications. Conclusions: The incidence of FMD in patients who underwent CT angiography for evaluation of living renal donor protocol is 2.6%.

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