title: Renal ablation in patients with end-stage renal disease.
abstract: BACKGROUND
  Transarterial catheter embolization of the kidneys (TAE) is a minimally invasive, image-guided procedure. In this study outcome and TAE-related complications of the patients who underwent TAE of the kidneys were evaluated retrospectively.
  
  
  METHODS
  Between August 2003 and August 2009, 11 patients underwent selective percutaneous transarterial renal embolization for end stage renal disease associated with uncontrolled hypertension, nephrotic syndrome, bleeding or malignancy. TAE of renal arteries was performed using different embolization agents.
  
  
  RESULTS
  Successful renal embolization was possible in all 21 kidneys. All patients became anuric. Non-target embolization was not detectable. Nevertheless, all patients developed some degree of postembolization symptoms including nausea, vomiting, fever or pain. A typical finding after embolization was an increase in the C-reactive protein.
  
  
  CONCLUSIONS
  Renal embolization is rarely done but should be considered as an alternative to surgical nephrectomy in patients with end stage renal disease due to the lesser invasiveness. Our study confirms the safety and effectivity of percutaneous renal embolization in patients with ESRD. We were able to control the hypertension, nephrotic syndrome, and bleeding caused by ESRD.
authors.affiliation: Friedrich Schiller University, Jena, Germany. andreas.hansch@med.uni-jena.de
authors.forename: A
authors.initials: A
authors.lastname: Hansch
authors.forename: A
authors.initials: A
authors.lastname: Pfeil
authors.forename: R
authors.initials: R
authors.lastname: Neumann
authors.forename: S
authors.initials: S
authors.lastname: Neumann
authors.forename: T E
authors.initials: TE
authors.lastname: Mayer
authors.forename: G
authors.initials: G
authors.lastname: Wolf
mesh_terms: D000328:Adult; D000368:Aged; D004621:Embolization, Therapeutic / Q000009:adverse effects; D005260:Female; D005858:Germany; D005919:Glomerular Filtration Rate; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy; D006801:Humans; D006973:Hypertension / Q000209:etiology / Q000628:therapy; D007668:Kidney / Q000098:blood supply* / Q000503:physiopathology; D007676:Kidney Failure, Chronic / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009404:Nephrotic Syndrome / Q000209:etiology / Q000628:therapy; D015641:Radiography, Interventional; D012077:Renal Artery / Q000000981:diagnostic imaging; D012189:Retrospective Studies; D016896:Treatment Outcome