PMC5477903_01
(A) Contrast-enhanced abdominal CT during the late venous phase showing a perfusion deficit of the middle and lower pole of the left kidney. (B) Digital substraction angiography (DSA) showing a corresponding perfusion deficit of the left kidney during the early filling phase. (C) Good reperfusion after the second cycle of local lysis with rt-PA.
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F1
Abdominal CT revealed the absence of perfusion of the lower and middle pole of the left kidney, corresponding to an 80% perfusion deficit (Figure 1A). Subsequent angiography demonstrated a dissection and thrombotic occlusion of the left renal artery (Figure 1B). As estimated by final angiography, perfusion could be essentially restored (Figure 1C).