PMC9045529_01
Reconstructed volume-rendered (A) computed tomography angiogram with maximum intensity image projection (B) showed 90% stenosis of the transplanted renal artery (A), and left external iliac artery (EIA) dissection (A) with 90% stenosis (B). Bilateral renal grafts anastomosed to the EIA can be seen (B). The peripheral angiogram showed 90% stenosis with dissection of the left EIA (C) and 90% stenosis of the proximal part of the transplanted renal artery (D, White arrow). Brisk flow was achieved across the transplanted renal artery (E) and left EIA (F) following endovascular intervention.
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Computed tomography angiogram showed 90% luminal stenosis of the graft renal artery (Figure 1A). Additionally, there was a dissection of the left external iliac artery (EIA) with 90% luminal narrowing (Figure 1A and 1B). The old nonfunctional renal graft could be seen on the right side (Figure 1B). TRAS (Figure 1D). The EIA was dilated with a 7 X 60 mm balloon. The stenosed graft renal artery was dilated with a 4 X 15 mm balloon, following which there was brisk flow across it with no significant residual stenosis (Figure 1E). The final angiogram showed brisk flow across both EIA and graft renal artery (Figure 1F).