Fig. 1: Near complete stenosis involving transplanted main renal artery as well as the external iliac artery just proximal to the anastomotic site.
Fig 2 : Crossing the renal artery lesion. Stabilizer 0.014” wire used to navigate across the transplanted renal artery stenosis.
Fig 3: Crossing External Iliac Artery Lesion. V18 0.018” wire used to navigate across the external iliac artery stenosis
Fig 4: Angiogram after crossing the Lesions.
Fig 5: Passing the stent across external iliac artery lesion.
Fig 6 Deploying the stent across the external iliac artery lesion.
Fig 7 : Post Stent deployment angiogram of the external iliac artery lesion. showing satisfactory widening of the external iliac artery lumen with good caliber contrast opacification.
Fig 8: Passing the stent across the transplanted main renal artery stenosis.
Fig 9: Deploying the stent across transplanted main renal artery lesion.
Fig 10: Inflation of the Balloon mounted stent across the transplanted main renal artery lesion.
Fig 11: Post stenting angiogram. Satisfactory widening of the lumen of the transplant main renal artery with good caliber contrast opacification.
Fig 12: Post procedure angiogram after successful stent deployment across both the transplant main renal artery and external iliac artery lesions adjacent to the anastomotic site. Good widening of the caliber of both the vessels with no hemodynamically significant residual stenosis. Significantly improved and prompt renal parenchymal blush visualized.