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Korean J Med > Volume 88(4); 2015 > Article
The Korean Journal of Medicine 2015;88(4): 453-458.
다낭성 신 질환 환자에서 경피적 신동맥 색전술의 효과에 대한 다섯 증례
임기현1, 김주성1, 이길호1, 원제환2, 신규태1, 김흥수1, 박인휘1
1아주대학교 의과대학 신장내과학교실
2아주대학교 의과대학 영상의학교실
Renal Artery Embolization in Patients with Polycystic Kidney Disease
Kihyun Lim1, Joo-Sung Kim1, Gil-Ho Lee1, Je-Hwan Won2, Gyu-Tae Shin1, Heungsoo Kim1, In-Whee Park1
1Division of Nephrology, Departments of Internal Medicine, Ajou University School of Medicine, Suwon, Korea
2Division of Nephrology, Departments of Pathology, Ajou University School of Medicine, Suwon, Korea
Corresponding Author: In-Whee Park ,Tel: +82-31-219-5131, Fax: +82-31-219-5987, Email: inwhee@empal.com
Received: July 9, 2014;   Revised: July 28, 2014;   Accepted: August 26, 2014.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Polycystic kidney disease (PCKD) is the most common life-threatening genetic disease that causes kidney failure worldwide. Patients with autosomal dominant PCKD notice an increase in abdominal size as the kidney cysts grow and present with gastrointestinal and pulmonary symptoms. Surgical therapy, percutaneous drainage, sclerotherapy, cyst decompression, and laparoscopic fenestration have been used to treat the symptoms, but the results are often unsatisfactory. We recruited five patients with PCKD. Each patient complained of severe abdominal discomfort, and had a poor quality of life. In these patients, we performed renal artery embolization. After the procedure, all of the patients were discharged without severe complications. Follow-up abdominal computed tomography was performed 3-6 months after the procedure, and we were able to confirm a reduction in the size of both kidneys. In addition, the clinical symptoms improved in all five patients.
Keywords: Polycystic kidney disease; Renal artery; Embolization
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