[Successful renal contraction therapy in polycystic kidney patient with renal transcatheter arterial embolization prior to ABO incompatible kidney transplantation].
28-year-old female received dialysis treatment due to chronic renal failure caused by polycystic kidney disease. Later, she underwent a laparoscopic splenectomy and ABO incompatible living kidney transplantation successfully following bilateral renal contraction therapy with renal transcatheter arterial embolization (renal TAE). A unilateral or bilateral native nephrectomy of a massively enlarged kidney performed at the time of renal transplantation is a common treatment in polycystic kidney patients scheduled for transplantation. On the other hand, when treated with renal TAE, such patients can avoid a laparotomy, which provides several advantages when undergoing peritoneal dialysis in the future or a laparoscopic splenectomy prior to ABO incompatible kidney transplantation. Furthermore, we consider that bilateral renal TAE is necessary for polycystic kidney patients prior to renal transplantation for a variety of reasons, including problems associated with contrast nephropathy if renal TAE for left kidney is remained after renal transplantation.
Kato
Taigo
T
Department of Specific Organ Regulation (Urology), Osaka University Graduate School of Medicine.
Yazawa
Koji
K
Ichimaru
Naotsugu
N
Saito
Jun
J
Tsutahar
Koichi
K
Kakuta
Yoichi
Y
Abe
Toyofumi
T
Nakai
Yasutomo
Y
Nonomura
Norio
N
Takahara
Shiro
S
Okuyama
Akihiko
A
D000017:ABO Blood-Group System; D000328:Adult; D001787:Blood Group Incompatibility; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D007668:Kidney / Q000473:pathology*; D016030:Kidney Transplantation; D007690:Polycystic Kidney Diseases / Q000473:pathology / Q000628:therapy*; D012077:Renal Artery; D016896:Treatment Outcome
D000017:ABO Blood-Group System