Renal artery located above the renal vein. Supernumerary renal arteries (two or more arteries to a single kidney) are the most common renovascular anomaly, occurrence ranging from 25% to 40% of kidneys. Renal artery stenosis, or narrowing of one or both renal arteries will lead to hypertension as the affected kidneys release renin to increase blood pressure to preserve perfusion to the kidneys. RAS is typically diagnosed with duplex ultrasonography of the renal arteries. It is treated with the use of balloon angioplasty and stents, if necessary. Atherosclerosis can also affect the renal arteries and can lead to poor perfusion of the
Posterior spinal artery anastomosis around the posterior roots of the spinal nerves, and communicate, by means of very tortuous transverse branches, with the vessels of the opposite side. Close to its origin each posterior spinal artery gives off an ascending branch, which ends ipsilaterally near the fourth ventricle. The posterior spinal artery can often originate from the posterior inferior cerebellar artery, rather than the vertebral. Most cranially, the posterior spinal artery supplies the dorsal column of the closed medulla containing fasiculus gracilis, gracile nucleus, fasciculus cuneatus, and cuneate nucleus. At the spinal cord level, the posterior spinal artery supplies the dorsal and lateral