Treatment
The preferred treatment for refractory cases is percutaneous balloon angioplasty. If the arterial wall is damaged or weakened, then stenting of the affected artery may be chosen. Besides high blood pressure control, anti-platelet drugs and blood thinner drugs may be used. Although renin and angiotensin are involved in the renal disease process ACE inhibitors, and angiotensin II receptor antagonists are not treatments of fibromuscular dysplasia, as angiotensin II-mediated vasoconstriction of the glomerular efferent arteriole aids in maintenance of adequate glomerular pressure (and thus, renal function) in the context of diminished afferent arteriole pressure.
Treatment updates and additional reading may be found in Renal Artery Fibromuscular Update, from Endovascular Today (2012); Fibromuscular dysplasia, from Orphanet Journal of Rare Diseases (2007); and Fibromuscular dysplasia: a differential diagnosis of vasculitis, from Rev Bras Reumatol (2012).
Read more about this topic: Fibromuscular Dysplasia
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