Intimal dissection following percutaneous transluminal carotid angioplasty for fibromuscular dysplasia

Rashid Jooma, Aga Khan University
J. R. Bradshaw, Frenchay Hospital Bristol England
H. B. Griffith, Frenchay HospitalBristolEngland


Fibromuscular dysplasia (FMD) is an unusual form of segmental arteriopathy and may affect the internal carotid artery (ICA). We report a case of carotid FMD in which percutaneous transluminal angioplasty (PTA) was complicated by an intimal tear and required surgical exploration. PTA is a useful form of treatment, but there is a risk of intimal dissection. If this occurs, it may be necessary to excise the intimal flap surgically.