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DOI: 10.4103/AJIR.AJIR_7_19
Transcatheter Unilateral Renal Artery Embolization for Managing Refractory Hypertension Prior to Renal Transplant
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We report a case of unilateral renal artery embolization as a management of refractory hypertension that precluded renal transplantation in a patient with end-stage renal disease and not a candidate for nephrectomy. Over the subsequent few months, the targeted blood pressure was achieved followed by noncomplicated renal transplantation.
Publication History
Article published online:
26 March 2021
© 2019. The Arab Journal of Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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References
- 1 Mao Z, Ye C, Mei C, Zhao X, Zhang Y, Xu C, et al. Comparison of unilateral renal artery embolization versus bilateral for treatment of severe refractory hypertension in hemodialysis patients. World J Urol 2009;27:679-85.
- 2 Yarimizu SN, Susan LP, Straffon RA, Stewart BH, Magnusson MO, Nakamoto SS, et al. Mortality and morbidity in pretransplant bilateral nephrectomy: Analysis of 305 cases. Urology 1978;12:55-8.
- 3 Darby CR, Cranston D, Raine AE, Morris PJ. Bilateral nephrectomy before transplantation: Indications, surgical approach, morbidity and mortality. Br J Surg 1991;78:305-7.
- 4 Novick AC, Ortenburg J, Braun WE. Reduced morbidity with posterior surgical approach for pretransplant bilateral nephrectomy. Surg Gynecol Obstet 1980;151:773-6.
- 5 Hom D, Eiley D, Lumerman JH, Siegel DN, Goldfischer ER, Smith AD, et al. Complete renal embolization as an alternative to nephrectomy. J Urol 1999;161:24-7.
- 6 De Baere T, Lagrange C, Kuoch V, Morice P, Court B, Roche A, et al. Transcatheter ethanol renal ablation in 20 patients with persistent urine leaks: An alternative to surgical nephrectomy. J Urol 2000;164:1148-52.
- 7 Golwyn DH Jr., Routh WD, Chen MY, Lorentz WB, Dyer RB. Percutaneous transcatheter renal ablation with absolute ethanol for uncontrolled hypertension or nephrotic syndrome: Results in 11 patients with end-stage renal disease. J Vasc Interv Radiol 1997;8:527-33.
- 8 Basile A, Boullosa-Seoane E, Dominiguez-Viguera L, Certo A, Casal-Rivas M. Bilateral renal embolization in the treatment of patients with renal insufficiency and arterial hypertension: Report of a case of polycystic kidneys. Radiol Med 2002;103:555-7.
- 9 Collins CS, Eggert CH, Stanson AJ, Garovic VD. Long-term follow-up of renal function and blood pressure after selective renal arterial embolization. Perspect Vasc Surg Endovasc Ther 2010;22:254-60.
- 10 Birchem JA, Fraley MA, Senkottaiyan N, Alpert MA. Influence of hypertension on cardiovascular outcomes in hemodialysis patients. Semin Dial 2005;18:391-5.
- 11 Shoma AM, Eraky I, El-Kappany HA. Pretransplant native nephrectomy in patients with end-stage renal failure: Assessment of the role of laparoscopy. Urology 2003;61:915-20.
- 12 Fricke L, Doehn C, Steinhoff J, Sack K, Jocham D, Fornara P, et al. Treatment of posttransplant hypertension by laparoscopic bilateral nephrectomy? Transplantation 1998;65:1182-7.
- 13 Bergreen PW, Woodside J, Paster SB. Therapeutic renal infarction. J Urol 1977;118:372-4.