case_images: PMC9045529_01
case_images: 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.
case_images: jvb-20-e20210035-g01.jpg
case_images: PMC9045529_01_jvb-20-e20210035-g01.jpg
case_images: gf01
case_images: 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).