Outcomes of carotid stenting in patients with fibromuscular dysplasia

Intravenous Tenecteplase and Carotid Artery Stenting in a Young Adult With Fibromuscular Dysplasia and Carotid Dissection

“…6,7 Although there are no randomized studies available to compare extracranial angioplasty or stenting to medical management in patients with cFMD with recurrent stroke, case studies and retrospective analysis suggested these endovascular procedures can be done safely with no neurological or vascular complications. 8,9 As in our case, the American Heart Association/American Stroke Association considers endovascular extracranial carotid intervention in patients with FMD or CeAD and recurrent stroke despite optimal medical management to be reasonable and may be considered, respectively, with a class IIb recommendation. 10 The benefits of carotid stenting immediately post-thrombolysis in our patient with fluctuating neurological symptoms and a worsening perfusion study were deemed to outweigh the potential risk of complications, especially given the absence of core infarction on both the initial and repeat CT perfusion.…”