title: Symptomatic fibromuscular dysplasia of the external iliac artery.
abstract: The aim of this article is to report a case of symptomatic fibromuscular dysplasia (FMD) involving the external iliac arteries (EIAs). An 88-year-old woman was admitted to the vascular service, with a painful right posterior ankle ulcer that had progressively worsened during the course of a month. Her medical history included diabetes and hypertension. Bilateral lower-extremity pulses were absent, and femoral and tibial Doppler waveforms were monophasic. Pelvic and bilateral lower-extremity angiograms were obtained, which revealed findings in both EIAs consistent with a diagnosis of extrarenal FMD. Percutaneous transluminal angioplasty with subsequent stenting of the right EIA was performed, using a self-expanding stent. Completion digital subtraction angiography demonstrated a widely patent right EIA with brisk flow of contrast across the stent. Postprocedural arterial duplex scan showed a biphasic waveform pattern in the common femoral artery. FMD can involve the EIA and be associated with critical limb ischemia. FMD of the EIA responds well to endovascular management.
authors.affiliation: Department of Radiology, Boston Medical Center, Boston, Massachusetts 02118, USA. neerajrastogi@hotmail.com
authors.forename: Neeraj
authors.initials: N
authors.lastname: Rastogi
authors.forename: Nii-Kabu
authors.initials: NK
authors.lastname: Kabutey
authors.forename: Ducksoo
authors.initials: D
authors.lastname: Kim
authors.forename: Alik
authors.initials: A
authors.lastname: Farber
mesh_terms: D000369:Aged, 80 and over; D015901:Angiography, Digital Subtraction; D017130:Angioplasty / Q000379:methods*; D003937:Diagnosis, Differential; D005260:Female; D005352:Fibromuscular Dysplasia / Q000000981:diagnostic imaging / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging*