title: Renal ablation using bilateral renal artery embolization for treatment of resistant nephrotic syndrome.
abstract: An 18-year-old man presented with severe nephrotic syndrome due to focal segmental glomerulosclerosis. His disease failed to remit with corticosteroids, calcineurin inhibitors, mycophenolate and rituximab. As his disease progressed with time, his anasarca became more resistant to high-dose combination diuretics and he developed multiple life-threatening bacterial infections. He was subjected to bilateral renal artery embolization with 99.8% alcohol to ablate his kidneys. Subsequently, the patient was maintained on hemodialysis and had normal serum albumin and did not have further infections. The procedure itself was simple and well tolerated, with only a minor post-embolization syndrome.
authors.affiliation: Department of Medicine, Al-Amiri Hospital.
authors.forename: Hossam Eldin
authors.initials: HE
authors.lastname: Sallam
authors.forename: Kamel
authors.initials: K
authors.lastname: El-Reshaid
authors.forename: Jozsef
authors.initials: J
authors.lastname: Varro
mesh_terms: D055011:Ablation Techniques; D000293:Adolescent; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D004351:Drug Resistance; D004621:Embolization, Therapeutic; D000431:Ethanol / Q000008:administration & dosage*; D005923:Glomerulosclerosis, Focal Segmental / Q000150:complications; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008297:Male; D009404:Nephrotic Syndrome / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology / Q000628:therapy*; D011859:Radiography; D012077:Renal Artery / Q000000981:diagnostic imaging; D006435:Renal Dialysis; D016896:Treatment Outcome
chemical_list: D000305:Adrenal Cortex Hormones; D007166:Immunosuppressive Agents; D000431:Ethanol