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 MorgantiAditya Sharma, Andrew M. Southerland, Emmanuel Touzé, Patricia Van Der Niepen, Jiguang Wang, Ido Weinberg, Scott Wilson, Jeffrey W. Olin, Pierre Francois Plouin

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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.

Original languageEnglish
Pages (from-to)229-252
Number of pages24
JournalJournal of Hypertension
Issue number2
StatePublished - 2019


  • aneurysm
  • cervical artery dissection
  • fibromuscular dysplasia
  • percutaneous angioplasty
  • pressure gradients
  • renovascular hypertension
  • spontaneous coronary artery dissection


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