First international consensus on the diagnosis and management of fibromuscular dysplasia

Heather L Gornik; Alexandre Persu; David Adlam; Lucas S Aparicio; Michel Azizi; Marion Boulanger; Rosa M Bruno; Peter De Leeuw; Natalia Fendrikova-Mahlay; James Froehlich; Santhi K Ganesh; Bruce H Gray; Cathlin Jamison; Andrzej Januszewicz; Xavier Jeunemaitre; Daniella Kadian-Dodov; Esther S H Kim; Jason C Kovacic; Pamela Mace; Alberto Morganti; Aditya Sharma; Andrew M Southerland; Emmanuel Touzé; Patricia Van der Niepen; Jiguang Wang; Ido Weinberg; Scott Wilson; Jeffrey W Olin; Pierre-Francois Plouin; Working Group ‘Hypertension and the Kidney’ of the European Society of Hypertension (ESH) and the Society for Vascular Medicine (SVM)

doi:10.1097/HJH.0000000000002019

First international consensus on the diagnosis and management of fibromuscular dysplasia

J Hypertens. 2019 Feb;37(2):229-252. doi: 10.1097/HJH.0000000000002019.

Authors

Heather L Gornik¹, Alexandre Persu², David Adlam^{3

4}, Lucas S Aparicio⁵, Michel Azizi^{6

7

8}, Marion Boulanger⁹, Rosa M Bruno¹⁰, Peter De Leeuw¹¹, Natalia Fendrikova-Mahlay¹, James Froehlich¹², Santhi K Ganesh¹², Bruce H Gray¹³, Cathlin Jamison¹⁴, Andrzej Januszewicz¹⁵, Xavier Jeunemaitre^{16

17}, Daniella Kadian-Dodov¹⁸, Esther S H Kim¹⁹, Jason C Kovacic¹⁸, Pamela Mace²⁰, Alberto Morganti²¹, Aditya Sharma²², Andrew M Southerland²³, Emmanuel Touzé⁹, Patricia Van der Niepen²⁴, Jiguang Wang²⁵, Ido Weinberg²⁶, Scott Wilson^{27

28}, Jeffrey W Olin¹⁸, Pierre-Francois Plouin^{6

7

8}; Working Group ‘Hypertension and the Kidney’ of the European Society of Hypertension (ESH) and the Society for Vascular Medicine (SVM)

Affiliations

¹ Division of Cardiovascular Medicine, Department of Cardiovascular Medicine, University Hospitals Cleveland Medical Center and UH Harrington Heart and Vascular Institute, Cleveland, Ohio, USA.
² Division of Cardiology, Department of Cardiovascular Diseases, Cliniques Universitaires Saint-Luc and Pole of Cardiovascular Research, Institut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, Brussels, Belgium.
³ Department of Cardiovascular Sciences.
⁴ NIHR Leicester Biomedical Research Centre, Glenfield Hospital, Leicester, UK.
⁵ Hypertension Section, Internal Medicine Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
⁶ Paris Descartes University.
⁷ Hypertension Unit, Assistance-Publique Hôpitaux de Paris, Hôpital Européen Georges Pompidou.
⁸ Institut National de la Santé et de la Recherche Médicale, Centre d'Investigation Clinique 1418, Paris.
⁹ Normandie Université, UNICAEN, Inserm U1237, CHU Caen Normandie, Caen, France.
¹⁰ Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
¹¹ Department of Medicine, Maastricht University Medical Center, Maastricht, The Netherlands.
¹² Frankel Cardiovascular Center, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan.
¹³ University of South Carolina School of Medicine Greenville, Greenville, South Carolina, USA.
¹⁴ Association Belge De Patients Atteints De Dysplasie Fibromusculaire/FMD Groep België (FMD-Be), Brussels, Belgium.
¹⁵ Department of Hypertension, Institute of Cardiology, Warsaw, Poland.
¹⁶ APHP, Department of Genetics and Centre for Rare Vascular Diseases, Hôpital Européen Georges Pompidou.
¹⁷ INSERM, U970 - PARCC, University Paris Descartes, Sorbonne Paris Cité, Paris, France.
¹⁸ Zena and Michael A. Wiener Cardiovascular Institute and Marie-Josée and Henry R. Kravis Center for Cardiovascular Health, Icahn School of Medicine at Mount Sinai, New York.
¹⁹ Division of Cardiovascular Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
²⁰ Fibromuscular Dysplasia Society of America (FMDSA), North Olmsted, Ohio, USA.
²¹ Centro Fisiologia Clinica e Ipertensione, Policlinico Hospital, University of Milan, Milan, Italy.
²² Cardiovascular Medicine Division, Department of Medicine.
²³ Department of Neurology, University of Virginia, Charlottesville, Virginia, USA.
²⁴ Department of Nephrology and Hypertension, Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel (UZ Brussel), Brussels, Belgium.
²⁵ Shanghai Institute of Hypertension and Center for Epidemiological Studies and Clinical Trials, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
²⁶ Vascular Medicine Section and Vascular Center, Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts, USA.
²⁷ Monash University (Central Clinical School of Medicine).
²⁸ Department of Renal Medicine, Alfred Health, Melbourne, Victoria, Australia.

PMID: 30640867
DOI: 10.1097/HJH.0000000000002019

Abstract

This article is a comprehensive document on the diagnosis and management of fibromuscular dysplasia (FMD) which was commissioned by the Working Group 'Hypertension and the Kidney' of the European Society of Hypertension (ESH) and the Society for Vascular Medicine (SVM). This document updates previous consensus documents/scientific statements on FMD published in 2014 with full harmonization of the position of European and US experts. In addition to practical consensus-based clinical recommendations, including a consensus protocol for catheter-based angiography and percutaneous angioplasty for renal FMD, the document also includes the first analysis of the European/International FMD Registry and provides updated data from the US Registry for FMD. Finally, it provides insights on ongoing research programs and proposes future research directions for understanding this multifaceted arterial disease.

Publication types

Consensus Development Conference
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

MeSH terms

Angiography
Angioplasty
Aortic Dissection / diagnostic imaging
Aortic Dissection / etiology
Aortic Dissection / therapy
Diagnosis, Differential
Disease Management
Fibromuscular Dysplasia / diagnostic imaging
Fibromuscular Dysplasia / etiology
Fibromuscular Dysplasia / therapy*
Humans
Hypertension
Registries*

Grants and funding

PG/13/96/30608/BHF_/British Heart Foundation/United Kingdom