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Page kidney: Rare cause of acute kidney injury after complicated renal artery angioplasty
The authors present a case of a patient who experienced a rare complication after attempted renal angioplasty and stenting, Page kidney. This patient presented with new onset hypertension secondary to bilateral renal artery stenosis and was referred for revascularization given hypertension refractor...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8678673/ https://www.ncbi.nlm.nih.gov/pubmed/34216535 http://dx.doi.org/10.1111/jch.14318 |
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author | Douvris, Adrianna Jegatheswaran, Januvi Hadziomerovic, Adnan Ruzicka, Marcel |
author_facet | Douvris, Adrianna Jegatheswaran, Januvi Hadziomerovic, Adnan Ruzicka, Marcel |
author_sort | Douvris, Adrianna |
collection | PubMed |
description | The authors present a case of a patient who experienced a rare complication after attempted renal angioplasty and stenting, Page kidney. This patient presented with new onset hypertension secondary to bilateral renal artery stenosis and was referred for revascularization given hypertension refractory to medical management. The right renal artery underwent successful angioplasty and stenting; however, the left renal artery experienced recoil stenosis. Post‐procedure the patient developed acute kidney injury secondary to Page kidney from subcapsular and extracapsular hematoma. This was managed conservatively with transfusions and the hematoma and acute kidney injury self‐resolved over the next 4 months. This case highlights the importance of revascularization for refractory hypertension secondary to hemodynamically significant bilateral renal artery stenosis, the rare complication of Page kidney with attempted revascularization of renal artery stenosis and the involvement of a hypertension specialist in the decision of revascularization of renal artery stenosis. |
format | Online Article Text |
id | pubmed-8678673 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-86786732021-12-23 Page kidney: Rare cause of acute kidney injury after complicated renal artery angioplasty Douvris, Adrianna Jegatheswaran, Januvi Hadziomerovic, Adnan Ruzicka, Marcel J Clin Hypertens (Greenwich) Short Research Article The authors present a case of a patient who experienced a rare complication after attempted renal angioplasty and stenting, Page kidney. This patient presented with new onset hypertension secondary to bilateral renal artery stenosis and was referred for revascularization given hypertension refractory to medical management. The right renal artery underwent successful angioplasty and stenting; however, the left renal artery experienced recoil stenosis. Post‐procedure the patient developed acute kidney injury secondary to Page kidney from subcapsular and extracapsular hematoma. This was managed conservatively with transfusions and the hematoma and acute kidney injury self‐resolved over the next 4 months. This case highlights the importance of revascularization for refractory hypertension secondary to hemodynamically significant bilateral renal artery stenosis, the rare complication of Page kidney with attempted revascularization of renal artery stenosis and the involvement of a hypertension specialist in the decision of revascularization of renal artery stenosis. John Wiley and Sons Inc. 2021-07-03 /pmc/articles/PMC8678673/ /pubmed/34216535 http://dx.doi.org/10.1111/jch.14318 Text en © 2021 The Authors. The Journal of Clinical Hypertension published by Wiley Periodicals LLC https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Short Research Article Douvris, Adrianna Jegatheswaran, Januvi Hadziomerovic, Adnan Ruzicka, Marcel Page kidney: Rare cause of acute kidney injury after complicated renal artery angioplasty |
title | Page kidney: Rare cause of acute kidney injury after complicated renal artery angioplasty |
title_full | Page kidney: Rare cause of acute kidney injury after complicated renal artery angioplasty |
title_fullStr | Page kidney: Rare cause of acute kidney injury after complicated renal artery angioplasty |
title_full_unstemmed | Page kidney: Rare cause of acute kidney injury after complicated renal artery angioplasty |
title_short | Page kidney: Rare cause of acute kidney injury after complicated renal artery angioplasty |
title_sort | page kidney: rare cause of acute kidney injury after complicated renal artery angioplasty |
topic | Short Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8678673/ https://www.ncbi.nlm.nih.gov/pubmed/34216535 http://dx.doi.org/10.1111/jch.14318 |
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