[Successful renal contraction therapy in polycystic kidney patient with renal transcatheter arterial embolization prior to ABO incompatible kidney transplantation].

Abstract

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.

• Authors: Taigo Kato, Koji Yazawa, Naotsugu Ichimaru, Jun Saito, Koichi Tsutahar, Yoichi Kakuta, Toyofumi Abe, Yasutomo Nakai, Norio Nonomura, Shiro Takahara, Akihiko Okuyama
• Journal: Nihon Hinyokika Gakkai zasshi. The japanese journal of urology (Nihon Hinyokika Gakkai Zasshi) Vol. 101 Issue 6 Pg. 730-3 (Sep 2010) ISSN: 0021-5287 [Print] Japan
• PMID: 20954380 (Publication Type: Case Reports, English Abstract, Journal Article)

Chemical References

• ABO Blood-Group System

Topics

• ABO Blood-Group System
• Adult
• Blood Group Incompatibility
• Embolization, Therapeutic (methods)
• Female
• Humans
• Kidney (pathology)
• Kidney Transplantation
• Polycystic Kidney Diseases (pathology, therapy)
• Renal Artery
• Treatment Outcome