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Failed percutaneous transluminal renal angioplasty: Experience with lesions requiring operative intervention  Richard H. Dean, M.D., James T. Callis,

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Presentation on theme: "Failed percutaneous transluminal renal angioplasty: Experience with lesions requiring operative intervention  Richard H. Dean, M.D., James T. Callis,"— Presentation transcript:

1 Failed percutaneous transluminal renal angioplasty: Experience with lesions requiring operative intervention  Richard H. Dean, M.D., James T. Callis, M.D., Bruce M. Smith, M.D., Patrick W. Meacham, M.D.  Journal of Vascular Surgery  Volume 6, Issue 3, Pages (September 1987) DOI: / (87) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

2 Fig. 1 Preliminary arteriogram taken before attempted PTA demonstrates involvement of the distal main renal artery and proximal branch vessel. Journal of Vascular Surgery 1987 6, DOI: ( / (87) ) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

3 Fig. 2 Preoperative arteriogram of a 17-year-old girl who had undergone two unsuccessful trials of PTA for treatment of congenital stenosis of the left renal artery. Journal of Vascular Surgery 1987 6, DOI: ( / (87) ) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

4 Fig. 3 Computed tomographic study obtained 2 weeks after right renal artery perforation in case 1 demonstrates an extensive hematoma from retroperitoneal hemorrhage. Journal of Vascular Surgery 1987 6, DOI: ( / (87) ) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

5 Fig. 4 Arteriogram taken 2 weeks after attempted bilateral PTA for bilateral medial fibromuscular dysplasia (case 1). Note the main right renal artery occlusion and the inferior branch occlusions on the left as a consequence of dissection of the vessel wall. Ex vivo reconstruction was required to manage the left renal artery disease. Journal of Vascular Surgery 1987 6, DOI: ( / (87) ) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

6 Fig. 5 Arteriogram of a 49-year-old normotensive woman demonstrates a distal renal artery aneurysm that appeared after empirical PTA for asymptomatic medial fibromuscular dysplasia of the right renal artery. Journal of Vascular Surgery 1987 6, DOI: ( / (87) ) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

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