Korean J Radiol.  2010 Oct;11(5):574-578. 10.3348/kjr.2010.11.5.574.

Transcatheter Arterial Embolization Using Ethanol in a Dialysis Patient for Contracting Enlarged Polycystic Kidneys

Affiliations
  • 1Department of Internal Medicine, Kosin University College of Medicine, Gospel Hospital, Busan 602-702, Korea. kidney@hanmail.net
  • 2Department of Radiology, Kosin University College of Medicine, Gospel Hospital, Busan 602-702, Korea.

Abstract

The mass effect of nephromegaly in patients with autosomal dominant polycystic kidney disease may cause pain and symptoms by compressing the alimentary tract, lungs, and heart. Conventional therapies exist to contract enlarged polycystic kidneys including surgical and interventional procedures. A surgical nephrectomy is often difficult to perform in dialysis patients due to the associated risks related to surgery. In contrast, renal transcatheter arterial embolization (TAE) with metallic coils, which is a less invasive interventional procedure, can also be utilized to contract enlarged kidneys in dialysis patients as an effective treatment. However, metallic coils present the possibility of recanalization and cost issues. Thus, we used ethanol instead of coils in renal TAE to resolve these issues. We report a dialysis patient with enlarged polycystic kidneys and poor oral intake due to abdominal distention that was successfully treated by TAE with absolute ethanol.

Keyword

Transcatheter arterial embolization; Autosomal dominant polycystic kidney disease; Ethanol

MeSH Terms

Aged
Contrast Media/administration & dosage
Embolization, Therapeutic/*methods
Ethanol/*therapeutic use
Ethiodized Oil/administration & dosage
Humans
Male
Polycystic Kidney, Autosomal Dominant/radiography/*therapy
*Renal Dialysis
Tomography, X-Ray Computed
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