Successful Renal Transplantation in Patients with Polycystic Kidneys after Renal Contraction by Renal Artery Embolization: Report on 2 Cases.
10.4285/jkstn.2011.25.3.190
- Author:
Ui Jun PARK
1
;
Hyoung Tae KIM
;
Min Young KIM
;
Eun Ah HWANG
;
Seung Yeup HAN
;
Sung Bae PARK
;
Hyun Chul KIM
;
Young Hwan KIM
;
Won Hyun CHO
Author Information
1. Department of Transplant & Vascular Surgery, Dongsan Medical Center, Keimyung University, Daegu, Korea. Wh51cho@dsmc.or.kr
- Publication Type:Case Report
- Keywords:
ADPKD;
Renal artery embolization;
Renal transplantation
- MeSH:
Contracts;
Fever;
Flank Pain;
Hemorrhage;
Hernia;
Humans;
Ileus;
Kidney;
Kidney Failure, Chronic;
Kidney Transplantation;
Living Donors;
Nephrectomy;
Polycystic Kidney Diseases;
Polycystic Kidney, Autosomal Dominant;
Renal Artery;
Transplants
- From:The Journal of the Korean Society for Transplantation
2011;25(3):190-195
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Autosomal polycystic kidney disease is responsible for about 10% of the cases of end stage renal disease. The increase in kidney size is usually proportional to the degree of deterioration in renal function. At the time of transplantation, these nonfunctional kidneys can be massively enlarged and nephrectomy is required before renal transplantation. However, pretransplantation nephrectomy of polycystic kidneys has the potential risk of surgical complications, including ileus, hernias, infection, excessive bleeding and/or intestinal injury. We report here on two cases successful renal transplantation in patients with polycystic kidneys after renal contraction by renal artery embolization and without nephrectomy. The volume reduction was evaluated by CT before and 3 months after renal artery embolization and the reduction in volume was 48% and 44% in each case, respectively. The embolization was well tolerated in both cases without immediate or delayed complications except for fever and lumbar flank pain. Four months after renal artery embolization, both of the patients successfully received a transplant from living donors.
