A case of renovascular hypertension with marked polyuria after percutaneous transluminal renal angioplasty

Nephron. 1996;73(1):79-85. doi: 10.1159/000189005.

Abstract

A 43-year-old female patient with hypertension was diagnosed as having one-kidney renovascular hypertension with dysfunction of the contralateral kidney, and percutaneous transluminal renal angioplasty was carried out. Marked polyuria was observed during the 2- to 72-hour postoperative period. During the 12- to 18-hour period of polyuria, the urine volume was 8.9 liters/6 h, which was 62% of the glomerular filtration, and was accompanied by high fractional excretion of sodium and of potassium and a high urine beta 2-microglobulin level. The mechanism of polyuria in this case is discussed.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Angioplasty, Balloon / adverse effects*
  • Blood Pressure / physiology
  • Female
  • Humans
  • Hypertension, Renovascular / etiology*
  • Hypertension, Renovascular / surgery
  • Organotechnetium Compounds
  • Polyuria / diagnostic imaging
  • Polyuria / etiology*
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / physiopathology*
  • Radiography
  • Radioisotope Renography
  • Renal Artery / diagnostic imaging
  • Succimer
  • Technetium Tc 99m Dimercaptosuccinic Acid

Substances

  • Organotechnetium Compounds
  • Technetium Tc 99m Dimercaptosuccinic Acid
  • Succimer