Baba Hiroshi, Oji Katsuki, Hongo Norio, Fujinami Hiroyuki, Ando Tadasuke, Shin Toshitaka, Asayama Yoshiki
Department of Radiology, Nakatsu Municipal Hospital, Japan.
Department of Radiology, Oita University Faculty of Medicine, Japan.
Interv Radiol (Higashimatsuyama). 2025 Jun 13;10:e20240064. doi: 10.22575/interventionalradiology.2024-0064. eCollection 2025.
This case report describes a 56-year-old woman with autosomal dominant polycystic kidney disease and chronic renal failure who underwent transcatheter arterial embolization with N-butyl-2-cyanoacrylate-Lipiodol before renal transplantation. Both kidneys were significantly enlarged, necessitating transcatheter arterial embolization to reduce renal volume and create space for transplantation. The right kidney volume decreased from 2520 to 1150 mL within 9 months after transcatheter arterial embolization, enabling successful transplantation. Long-term (37 months) follow-up demonstrated continued shrinkage of the transcatheter arterial embolization-treated right kidney and a spontaneous reduction in the non-transcatheter arterial embolization-treated left kidney. The reduction in renal volume achieved with transcatheter arterial embolization exceeded that reported for conventional methods using metal coils or ethanol. This case highlights the potential of as an effective embolizing agent for patients with autosomal dominant polycystic kidney undergoing renal transplantation.
本病例报告描述了一名56岁患有常染色体显性多囊肾病和慢性肾衰竭的女性，在肾移植前接受了用N-丁基-2-氰基丙烯酸酯-碘油进行的经导管动脉栓塞术。双侧肾脏均显著增大，需要进行经导管动脉栓塞术以减少肾脏体积并为移植创造空间。经导管动脉栓塞术后9个月内，右肾体积从2520毫升降至1150毫升，从而实现了成功移植。长期（37个月）随访显示，经导管动脉栓塞术治疗的右肾持续缩小，未接受经导管动脉栓塞术治疗的左肾自发缩小。经导管动脉栓塞术实现的肾脏体积缩小超过了使用金属线圈或乙醇的传统方法所报告的缩小程度。本病例突出了[原文此处可能遗漏栓塞剂名称]作为常染色体显性多囊肾病患者肾移植有效栓塞剂的潜力。
