Acute Page kidney after angioplasty in kidney transplant allografts

Author:

Canllavi Elizabeth1,Teigell Julio2,Trujillo Hernando1ORCID,Gutiérrez Eduardo13,Sánchez Angel4,Miranda-Utrera Natalia2,Morales Enrique135ORCID

Affiliation:

1. Department of Nephrology, Hospital Universitario 12 de Octubre, Madrid, Spain

2. Department of Urology, Hospital Universitario 12 de Octubre, Madrid, Spain

3. Instituto de Investigación del Hospital Universitario 12 de Octubre (imas12), Madrid, Spain

4. Department of Radiology, Hospital Universitario 12 de Octubre, Madrid, Spain

5. Department of Medicine, Universidad Complutense de Madrid, Madrid, Spain

Abstract

Abstract Acute Page kidney (APK) in kidney transplantation is a rare entity often related to interventional techniques. Percutaneous angioplasty remains an exceptional cause of APK. Herein we describe the clinical course and outcome of APK following percutaneous angioplasty for transplant renal artery stenosis in four kidney transplant recipients, where external compression of the graft was caused by subcapsular haematomas. All patients were treated with surgical drainage, after which two cases recovered baseline kidney function, one developed advanced chronic kidney disease and one remained dialysis-dependent. To our knowledge, the present series is the largest to describe APK in kidney allografts after percutaneous angioplasty.

Publisher

Oxford University Press (OUP)

Subject

Transplantation,Nephrology

Reference9 articles.

1. Hypertension due to renal compression resulting from subcapsular hematoma;Engel;J Urol,1955

2. Page kidney as a rare cause of hypertension: case report and review of the literature;Dopson;Am J Kidney Dis,2009

3. Percutaneous transluminal angioplasty as first-line treatment of transplant renal artery stenosis;Henning;Clin Nephrol,2008

4. Page kidney: case report and review of the literature;McCune;Am J Kidney Dis,1991

5. Acute page kidney complicating kidney transplant artery stenting: presentation of a case and novel management;Hamidian;Iran J Kidney Dis,2013

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