case_images: PMC6376492_01
case_images: Angiogram demonstrating the tight left renal artery stenosis.
case_images: 10.1177_1179547619828721-fig1.jpg
case_images: PMC6376492_01_10.1177_1179547619828721-fig1.jpg
case_images: fig1-1179547619828721
case_images: Angiogram demonstrated no aortic coarctation but a tight ostial stenosis of the left renal artery (Figure 1) suggestive of possible unifocal FMD.
case_images: Plain balloon angioplasty failing to relieve the stenosis.
case_images: 10.1177_1179547619828721-fig2.jpg
case_images: PMC6376492_01_10.1177_1179547619828721-fig2.jpg
case_images: fig2-1179547619828721
case_images: The stenosis was crossed and angioplastied with both 2 and 3 mm conventional balloons (Sterling, Boston Scientific, Massachusetts, United States), but there was failure to relieve the stenosis (Figure 2) despite high inflation pressures.
case_images: Cutting balloon angioplasty successfully relieving the stenosis.
case_images: 10.1177_1179547619828721-fig3.jpg
case_images: PMC6376492_01_10.1177_1179547619828721-fig3.jpg
case_images: fig3-1179547619828721
case_images: Using a 6Fr sheath, an over-the-wire 3 mm x 15 mm cutting balloon (Boston Scientific) was used over a 0.014 wire (Figure 3) to relieve the stenosis.
case_images: Post-procedure angiogram.
case_images: 10.1177_1179547619828721-fig4.jpg
case_images: PMC6376492_01_10.1177_1179547619828721-fig4.jpg
case_images: fig4-1179547619828721
case_images: The stenosis was post dilated with 3.5 mm x 20 mm balloon with excellent angiographic results and release of the stenosis (Figure 4).