Korean J Med.  2004 Nov;67(Suppl 3):S776-S780.

A case of renal arterial embolization using 99% ethanol and lipiodol mixture for autosomal dominant polycystic kidney disease in a hemodialysis patient

Affiliations
  • 1Department of Internal Medicine, Yonsei University, College of Medicine, Seoul, Korea.
  • 2Department of Kidney Center, NHIC Ilsan Hospital, Ilsan, korea. kangeawha@honmail.net

Abstract

Autosomal dominant polycystic kidney disease (ADPKD) is a common genetic disorder characterized by innumerable bilateral renal cysts. It has an prevalence rate of one in 200~1,000 individuals and is a relatively common cause of renal failure. As renal function deteriorates, overall renal size usually diminish in patients with chronic renal failure. However, renal size of patients with ADPKD usually continues to increase, even after the initiation of dialysis therapy, because numerous cysts replace renal mass. Attempted methods to reduce the size of enlarged kidneys have included needle aspiration and sclerotherapy, cyst decompression surgery, laparoscopic and surgical nephrectomy. The outcome of these therapy frequently has been suboptimal, and there is a need to develop a more effective therapy. We report a case of renal arterial embolization using 99% ethanol and lipiodol mixture for ADPKD in a hemodialysis pathient, which has not been previously reported.

Keyword

Autosomal dominant polycystic kidney disease; Embolization

MeSH Terms

Decompression
Dialysis
Ethanol*
Ethiodized Oil*
Humans
Kidney
Kidney Failure, Chronic
Laparoscopy
Needles
Nephrectomy
Polycystic Kidney, Autosomal Dominant*
Prevalence
Renal Dialysis*
Renal Insufficiency
Sclerotherapy
Ethanol
Ethiodized Oil
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