Transcatheter arterial embolization using ethanol in a dialysis patient for contracting enlarged polycystic kidneys.
The mass effect of nephromegaly in patients with autosomal dominant polycystic kidney disease may cause pain and symptoms by compressing the alimentary tract, lungs, and heart. Conventional therapies exist to contract enlarged polycystic kidneys including surgical and interventional procedures. A surgical nephrectomy is often difficult to perform in dialysis patients due to the associated risks related to surgery. In contrast, renal transcatheter arterial embolization (TAE) with metallic coils, which is a less invasive interventional procedure, can also be utilized to contract enlarged kidneys in dialysis patients as an effective treatment. However, metallic coils present the possibility of recanalization and cost issues. Thus, we used ethanol instead of coils in renal TAE to resolve these issues. We report a dialysis patient with enlarged polycystic kidneys and poor oral intake due to abdominal distention that was successfully treated by TAE with absolute ethanol.
Rim
Hark
H
Department of Internal Medicine, Kosin University College of Medicine, Gospel Hospital, Busan, Korea.
Jung
Gyoo-Sik
GS
Jung
Yeon Soon
YS
D000368:Aged; D003287:Contrast Media / Q000008:administration & dosage; D004621:Embolization, Therapeutic / Q000379:methods*; D000431:Ethanol / Q000627:therapeutic use*; D004998:Ethiodized Oil / Q000008:administration & dosage; D006801:Humans; D008297:Male; D016891:Polycystic Kidney, Autosomal Dominant / Q000000981:diagnostic imaging / Q000628:therapy*; D006435:Renal Dialysis; D014057:Tomography, X-Ray Computed
D003287:Contrast Media; D000431:Ethanol; D004998:Ethiodized Oil
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