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Year : 2020  |  Volume : 30  |  Issue : 3  |  Page : 201--203

Page kidney complicating kidney biopsy after stopping Apixaban: A physician's dilemma

Macaulay A. C. Onuigbo, Vivek Sharma, Omotola Balogun, Allina Ghimire 
 Division of Nephrology, Department of Medicine, The Robert Larner, M.D. College of Medicine, University of Vermont, Burlington, VT, USA

Correspondence Address:
Dr. Macaulay A. C. Onuigbo
Division of Nephrology, Department of Medicine, The Robert Larner, M.D. College of Medicine, University of Vermont, Burlington, VT. UHC Campus, 1 South Prospect Street, Burlington, VT - 05401
USA

Page kidney was described by Page, following very elaborate experiments with animal kidneys in 1939, with persistent arterial hypertension from “cellophane perinephritis.” Subsequently, it was reported after trauma, from renal cysts and tumors, and from intrarenal hematoma complicating percutaneous kidney biopsy. We describe Page kidney associated with acute kidney injury 26 days after an uncomplicated ultrasound-guided right native kidney biopsy. Patient was on Apixaban, a non-vitamin K antagonist oral anticoagulant (NOAC) for atrial fibrillation which was withheld 3 days before the procedure. It was restarted 3 days after. The evidence-base supporting guidelines and recommendations for the peri-procedural management of the NOACs is inadequate, sparse, and often conflicted. More research is warranted.

How to cite this article:
Onuigbo MA, Sharma V, Balogun O, Ghimire A. Page kidney complicating kidney biopsy after stopping Apixaban: A physician's dilemma.Indian J Nephrol 2020;30:201-203

How to cite this URL:
Onuigbo MA, Sharma V, Balogun O, Ghimire A. Page kidney complicating kidney biopsy after stopping Apixaban: A physician's dilemma. Indian J Nephrol [serial online] 2020 [cited 2021 Mar 1 ];30:201-203
Available from: https://www.indianjnephrol.org/article.asp?issn=0971-4065;year=2020;volume=30;issue=3;spage=201;epage=203;aulast=Onuigbo;type=0