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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...

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Autores principales: Douvris, Adrianna, Jegatheswaran, Januvi, Hadziomerovic, Adnan, Ruzicka, Marcel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
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.
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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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