A Twist in the Artery

A 68-year-old woman with unstable Angina undergoes cardiac catheterization, but a surprising vascular finding complicates the procedure. What’s the diagnosis?

Fibromuscular dysplasia


A 68-year-old woman presented with unstable angina and underwent cardiac catheterization by radial access. There was difficulty advancing the guidewire; a brachial angiogram revealed the following. What is the diagnosis?

What is the most likely diagnosis?

Takayasu’s arteritis
Arteriovenous malformation
Brachial artery stenosis
Fibromuscular dysplasia
Atherosclerotic peripheral artery disease

Angiography, Cardiology, Fibromuscular Dysplasia, String of Beads, Vascular Disease

Leave a Comment