Open AccessPage kidney: Rare cause of acute kidney injury after complicated renal artery angioplasty
Author(s) -
Douvris Adrianna,
Jegatheswaran Januvi,
Hadziomerovic Adnan,
Ruzicka Marcel
Publication year - 2021
Publication title -
the journal of clinical hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 67
eISSN - 1751-7176
pISSN - 1524-6175
DOI - 10.1111/jch.14318
Subject(s) - medicine , renal artery stenosis , angioplasty , renal artery , revascularization , stenosis , acute kidney injury , kidney , complication , hematoma , renovascular hypertension , surgery , secondary hypertension , renal artery obstruction , radiology , cardiology , blood pressure , myocardial infarction
Abstract 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.