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. 2017 Mar 24;92(4):225–229. doi: 10.4174/astr.2017.92.4.225

Fig. 2. Aortogram and selective bilateral renal arteriograms confirmed multiple arterial dissections. (A) Proximal dissections of the celiac artery and superior mesenteric artery (circle) were demonstrated on the lateral aortogram. A guide wire was able to pass through the narrowing segment; 2 balloon-expandable stents were then deployed. Poststenting angiogram showed remarkable dilation of the true lumen (not shown). (B) Dissection of the superior segmental artery (white arrow) and subsequent upper pole infarction (asterisk) was seen on the right renal arteriogram. (C) Left renal arteriogram revealed the dissection and narrowing at the bifurcation level of the anterior division and the superior segmental artery (black arrow) with the corresponding perfusion defect in the upper pole (asterisk). A guiding catheter was exchanged, followed by the deployment of a 6-mm × 2-cm balloon-expandable renal stent at the level of bifurcation to the anterior division. Complete angiogram demonstrated full dilatation of the previous narrowing segment (not shown).

Fig. 2