Segmental arterial mediolysis presenting as spontaneous bilateral renal artery dissection
The commonest site of primary dissection involving the visceral vessels is renal arteries; however, spontaneous bilateral renal artery dissection is an extremely rare entity. Spontaneous renal artery dissection (SRAD) is rarely a cause of renovascular hypertension. Segmental arterial mediolysis is a rare arteriopathy of unknown etiology which is a nonatherosclerotic and noninflammatory condition. We report a case of a 51-year-old male patient with spontaneous dissection of bilateral renal arteries with clinical, laboratory, and angiographic findings consistent with segmental artery mediolysis. Early diagnosis and treatment of this condition will decrease morbidity and mortality.
The aim of our study is to characterize, using OCT, the morphologic features of calcific plaques after rotational atherectomy, adjunctive balloon angioplasty and stenting. ::: ::: A total of 57 consecutive patients who had undergone angioplasty using rotational atherectomy were included. The 67 lesions