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 4 kidney transplant recipients where external compression of the graft was caused by subcapsular hematomas. All patients were treated with surgical drainage, after which 2 cases recovered baseline kidney function, 1 developed advanced chronic kidney disease, and 1 remained dialysis-dependent. To our knowledge, the present series is the largest to describe APK in kidney allografts after percutaneous angioplasty.