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Arterial stenosis

MedGen UID:
11612
Concept ID:
C0038449
Finding; Pathologic Function
Synonyms: Arterial stricture; Narrowing of an artery; Stenosis of artery; Stricture of artery; Stricture of Artery
SNOMED CT: Stricture of artery (68109007); Arterial stricture (68109007); Stenosis of artery (726490008)
 
HPO: HP:0100545

Definition

Narrowing or constriction of the inner surface (lumen) of an artery. [from HPO]

Conditions with this feature

PHACE syndrome
MedGen UID:
376231
Concept ID:
C1847874
Disease or Syndrome
PHACE is an acronym for a neurocutaneous syndrome encompassing the following features: posterior fossa brain malformations, hemangiomas of the face (large or complex), arterial anomalies, cardiac anomalies, and eye abnormalities. The association is referred to as PHACES when ventral developmental defects, such as sternal clefting or supraumbilical raphe, are present (summary by Bracken et al., 2011).
Arterial calcification, generalized, of infancy, 1
MedGen UID:
1631685
Concept ID:
C4551985
Disease or Syndrome
Generalized arterial calcification of infancy (GACI) is characterized by infantile onset of widespread arterial calcification and/or narrowing of large and medium-sized vessels resulting in cardiovascular findings (which can include heart failure, respiratory distress, edema, cyanosis, hypertension, and/or cardiomegaly). Additional findings can include typical skin and retinal manifestations of pseudoxanthoma elasticum (PXE), periarticular calcifications, development of rickets after infancy, cervical spine fusion, and hearing loss. While mortality in infancy is high, survival into the third and fourth decades has occurred.

Professional guidelines

PubMed

Turan TN, Zaidat OO, Gronseth GS, Chimowitz MI, Culebras A, Furlan AJ, Goldstein LB, Gonzalez NR, Latorre JG, Messé SR, Nguyen TN, Sangha RS, Schneck MJ, Singhal AB, Wechsler LR, Rabinstein AA, Dolan O'Brien M, Silsbee H, Fletcher JJ
Neurology 2022 Mar 22;98(12):486-498. doi: 10.1212/WNL.0000000000200030. PMID: 35314513Free PMC Article
Expert Panel on Interventional Radiology:, Fidelman N, AbuRahma AF, Cash BD, Kapoor BS, Knuttinen MG, Minocha J, Rochon PJ, Shaw CM, Ray CE Jr, Lorenz JM
J Am Coll Radiol 2017 May;14(5S):S266-S271. doi: 10.1016/j.jacr.2017.02.014. PMID: 28473083
Holmstedt CA, Turan TN, Chimowitz MI
Lancet Neurol 2013 Nov;12(11):1106-14. doi: 10.1016/S1474-4422(13)70195-9. PMID: 24135208Free PMC Article

Recent clinical studies

Etiology

Salehi Omran S
Continuum (Minneap Minn) 2023 Apr 1;29(2):540-565. doi: 10.1212/CON.0000000000001233. PMID: 37039409
Koster MJ, Warrington KJ, Matteson EL
Curr Rheumatol Rep 2020 Oct 16;22(12):86. doi: 10.1007/s11926-020-00963-y. PMID: 33067687
Kwon SU, Kim JS
Front Neurol Neurosci 2016;40:141-151. Epub 2016 Dec 2 doi: 10.1159/000448310. PMID: 27960183
Hart RG, Diener HC, Coutts SB, Easton JD, Granger CB, O'Donnell MJ, Sacco RL, Connolly SJ; Cryptogenic Stroke/ESUS International Working Group
Lancet Neurol 2014 Apr;13(4):429-38. doi: 10.1016/S1474-4422(13)70310-7. PMID: 24646875
Carvalho M, Oliveira A, Azevedo E, Bastos-Leite AJ
J Stroke Cerebrovasc Dis 2014 Apr;23(4):599-609. Epub 2013 Jul 11 doi: 10.1016/j.jstrokecerebrovasdis.2013.06.006. PMID: 23850084

Diagnosis

Salehi Omran S
Continuum (Minneap Minn) 2023 Apr 1;29(2):540-565. doi: 10.1212/CON.0000000000001233. PMID: 37039409
Tombetti E, Mason JC
Presse Med 2017 Jul-Aug;46(7-8 Pt 2):e215-e223. Epub 2017 Jul 28 doi: 10.1016/j.lpm.2017.03.022. PMID: 28757178
Kanoto M, Hosoya T
Neurol Med Chir (Tokyo) 2016 Sep 15;56(9):524-33. Epub 2016 May 13 doi: 10.2176/nmc.ra.2015-0294. PMID: 27180630Free PMC Article
Carvalho M, Oliveira A, Azevedo E, Bastos-Leite AJ
J Stroke Cerebrovasc Dis 2014 Apr;23(4):599-609. Epub 2013 Jul 11 doi: 10.1016/j.jstrokecerebrovasdis.2013.06.006. PMID: 23850084
Marshalleck F
Tech Vasc Interv Radiol 2010 Dec;13(4):238-43. doi: 10.1053/j.tvir.2010.04.006. PMID: 21055678

Therapy

Polonsky TS, McDermott MM
JAMA 2021 Jun 1;325(21):2188-2198. doi: 10.1001/jama.2021.2126. PMID: 34061140
Kwon SU, Kim JS
Front Neurol Neurosci 2016;40:141-151. Epub 2016 Dec 2 doi: 10.1159/000448310. PMID: 27960183
Hart RG, Diener HC, Coutts SB, Easton JD, Granger CB, O'Donnell MJ, Sacco RL, Connolly SJ; Cryptogenic Stroke/ESUS International Working Group
Lancet Neurol 2014 Apr;13(4):429-38. doi: 10.1016/S1474-4422(13)70310-7. PMID: 24646875
Holmstedt CA, Turan TN, Chimowitz MI
Lancet Neurol 2013 Nov;12(11):1106-14. doi: 10.1016/S1474-4422(13)70195-9. PMID: 24135208Free PMC Article
Chimowitz MI, Lynn MJ, Derdeyn CP, Turan TN, Fiorella D, Lane BF, Janis LS, Lutsep HL, Barnwell SL, Waters MF, Hoh BL, Hourihane JM, Levy EI, Alexandrov AV, Harrigan MR, Chiu D, Klucznik RP, Clark JM, McDougall CG, Johnson MD, Pride GL Jr, Torbey MT, Zaidat OO, Rumboldt Z, Cloft HJ; SAMMPRIS Trial Investigators
N Engl J Med 2011 Sep 15;365(11):993-1003. Epub 2011 Sep 7 doi: 10.1056/NEJMoa1105335. PMID: 21899409Free PMC Article

Prognosis

Salerno A, Strambo D, Nannoni S, Dunet V, Michel P
Int J Stroke 2022 Aug;17(7):714-722. Epub 2021 Sep 28 doi: 10.1177/17474930211046758. PMID: 34581223Free PMC Article
Tse G, Bazoukis G, Roever L, Liu T, Wu WKK, Wong MCS, Baranchuk A, Korantzopoulos P, Asvestas D, Letsas KP
Curr Atheroscler Rep 2018 Sep 17;20(11):55. doi: 10.1007/s11883-018-0756-4. PMID: 30225618
Wang Y, Zhao X, Liu L, Soo YO, Pu Y, Pan Y, Wang Y, Zou X, Leung TW, Cai Y, Bai Q, Wu Y, Wang C, Pan X, Luo B, Wong KS; CICAS Study Group
Stroke 2014 Mar;45(3):663-9. Epub 2014 Jan 30 doi: 10.1161/STROKEAHA.113.003508. PMID: 24481975
Derdeyn CP, Chimowitz MI, Lynn MJ, Fiorella D, Turan TN, Janis LS, Montgomery J, Nizam A, Lane BF, Lutsep HL, Barnwell SL, Waters MF, Hoh BL, Hourihane JM, Levy EI, Alexandrov AV, Harrigan MR, Chiu D, Klucznik RP, Clark JM, McDougall CG, Johnson MD, Pride GL Jr, Lynch JR, Zaidat OO, Rumboldt Z, Cloft HJ; Stenting and Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Stenosis Trial Investigators
Lancet 2014 Jan 25;383(9914):333-41. Epub 2013 Oct 26 doi: 10.1016/S0140-6736(13)62038-3. PMID: 24168957Free PMC Article
Chimowitz MI, Lynn MJ, Derdeyn CP, Turan TN, Fiorella D, Lane BF, Janis LS, Lutsep HL, Barnwell SL, Waters MF, Hoh BL, Hourihane JM, Levy EI, Alexandrov AV, Harrigan MR, Chiu D, Klucznik RP, Clark JM, McDougall CG, Johnson MD, Pride GL Jr, Torbey MT, Zaidat OO, Rumboldt Z, Cloft HJ; SAMMPRIS Trial Investigators
N Engl J Med 2011 Sep 15;365(11):993-1003. Epub 2011 Sep 7 doi: 10.1056/NEJMoa1105335. PMID: 21899409Free PMC Article

Clinical prediction guides

Tse G, Bazoukis G, Roever L, Liu T, Wu WKK, Wong MCS, Baranchuk A, Korantzopoulos P, Asvestas D, Letsas KP
Curr Atheroscler Rep 2018 Sep 17;20(11):55. doi: 10.1007/s11883-018-0756-4. PMID: 30225618
Li JK
Adv Exp Med Biol 2018;1065:207-224. doi: 10.1007/978-3-319-77932-4_14. PMID: 30051387
Das KM, Momenah TS, Larsson SG, Jadoon S, Aldosary AS, Lee EY
Pediatr Cardiol 2014 Dec;35(8):1309-20. Epub 2014 Aug 20 doi: 10.1007/s00246-014-0998-z. PMID: 25139247
Wang Y, Zhao X, Liu L, Soo YO, Pu Y, Pan Y, Wang Y, Zou X, Leung TW, Cai Y, Bai Q, Wu Y, Wang C, Pan X, Luo B, Wong KS; CICAS Study Group
Stroke 2014 Mar;45(3):663-9. Epub 2014 Jan 30 doi: 10.1161/STROKEAHA.113.003508. PMID: 24481975
Khater N, Khauli R
Urol Int 2013;90(4):373-80. Epub 2012 Oct 19 doi: 10.1159/000342965. PMID: 23095211

Recent systematic reviews

Abdollahifard S, Yousefi O, Kamran H, Mowla A
Interv Neuroradiol 2023 Aug;29(4):466-480. Epub 2022 May 12 doi: 10.1177/15910199221100620. PMID: 35549530Free PMC Article
Wang T, Yang K, Luo J, Gao P, Ma Y, Wang Y, Li L, Liu Y, Feng Y, Wang X, Jiao L
J Neurol 2020 Mar;267(3):581-590. Epub 2019 Jan 5 doi: 10.1007/s00415-018-09176-x. PMID: 30612142
Fowkes G, Gillespie IN
Cochrane Database Syst Rev 2018 Mar 9;3(3):CD000017. doi: 10.1002/14651858.CD000017.pub2. PMID: 29521415Free PMC Article
Keser G, Direskeneli H, Aksu K
Rheumatology (Oxford) 2014 May;53(5):793-801. Epub 2013 Oct 4 doi: 10.1093/rheumatology/ket320. PMID: 24097290
Jens S, Koelemay MJ, Reekers JA, Bipat S
Eur Radiol 2013 Nov;23(11):3104-14. Epub 2013 Jun 26 doi: 10.1007/s00330-013-2933-8. PMID: 23801421

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