Figure 5.

Angiography of a pregnant woman (week 16) with uncontrolled hypertension and bruits over the renal arteries.

Notes: Angiography with lead aprons covering the lower abdomen and as little radiation and contrast as possible showed bilateral fibromuscular dysplasia (A), arrows, which was treated with percutaneous transluminal angioplasty. Different stages of treatment are shown (B–D). The radiation to the fetus was <0.5 mSv, hypertension improved, and the pregnancy was completed successfully. Post partum control showed restenosis that required repeat percutaneous transluminal angioplasty bilaterally (E) with persisting good results thereafter.