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Fig. 2A. —45-year-old woman with renal artery dissection causing acute thrombotic occlusion after 5-mm balloon angioplasty of distal main renal artery and placement of 6-mm stent in proximal renal artery. Patient initially had presented with malignant hypertension and fibromuscular dysplasia of both renal arteries that had been treated with bilateral renal artery angioplasty and stenting of the proximal right renal artery. Aortogram obtained after right renal artery angioplasty and stenting reveals widely patent right renal artery with no evidence of dissection flap. Guidewire-induced vasospasm of several intrarenal branch arteries is visualized.

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