[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.
Department of Specific Organ Regulation (Urology), Osaka University Graduate School of Medicine.
Taigo
T
Kato
Koji
K
Yazawa
Naotsugu
N
Ichimaru
Jun
J
Saito
Koichi
K
Tsutahar
Yoichi
Y
Kakuta
Toyofumi
T
Abe
Yasutomo
Y
Nakai
Norio
N
Nonomura
Shiro
S
Takahara
Akihiko
A
Okuyama
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