Ablation of Symptomatic Cysts Using Absolute Ethanol in 11 Patients with Autosomal-Dominant Polycystic Kidney Disease

Lee, Young Rae; Lee, Kyu‐Beck

doi:10.3348/kjr.2003.4.4.239

Cited by 19 publications

(17 citation statements)

References 20 publications

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“…The duration of these effects is unclear, as recurrence of pain and reaccumulation of volume by 12 months , requiring repeat procedures has been described . Complications varied and included hematuria , pain , and nephro‐cutaneous fistula .…”

Section: Methodsmentioning

confidence: 99%

“…Overall reduction in renal volume was noted immediately post procedure (110) and at 6-7 months (108,109) with 81% of treated cysts having a 50% reduction in volume in one study (108). Improvement in symptoms was noted with significant decrease in pain scores within the first 7 days post procedure (5.5-2.3) (110) with between 86-90% of patients reporting improvement in pain at 6 months (108,109) and others reporting relief at 12-24 months post procedure (111). The duration of these effects is unclear, as recurrence of pain and reaccumulation of volume by 12 months (109), requiring repeat procedures has been described (110).…”

Section: Management Of Pain In Adpkdmentioning

confidence: 99%

See 1 more Smart Citation

Pain in Chronic Kidney Disease: A Scoping Review

Davison

Koncicki

Brennan

2014

Seminars in Dialysis

147

110

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There is increasing international attention in efforts to integrate palliative care principles, including pain and symptom management, into the care of patients with advanced chronic kidney disease (CKD). The purpose of this scoping review was to determine the extent, range, and nature of research activity around pain in CKD with the goal of (i) identifying gaps in current research knowledge; (ii) guiding future research; and (iii) creating a rich database of literature to serve as a foundation of more detailed reviews in areas where the data are sufficient. This review will specifically address the epidemiology of pain in CKD, analgesic use, pharmacokinetic data of analgesics, and the management of pain in CKD. It will also capture the aspects that pertain to specific pain syndromes in CKD such as peripheral neuropathy, carpal tunnel syndrome, joint pain, and autosomal dominant polycystic kidney disease.

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Section: Methodsmentioning

confidence: 99%

Section: Management Of Pain In Adpkdmentioning

confidence: 99%

Pain in Chronic Kidney Disease: A Scoping Review

Davison

Koncicki

Brennan

2014

Seminars in Dialysis

147

110

View full text Add to dashboard Cite

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“…Of these, ethanol is the most widely used because it is considered to be safer and more effective than the other drugs (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18). The present study used 99% ethanol.…”

Section: Discussionmentioning

confidence: 99%

Predictors of the Frequency of Ethanol Injections for Renal Cyst Ablation: A Preliminary Study

Kim

Cho

2018

J Korean Soc Radiol

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Purpose:To assess the factors facilitating the prediction of the frequency of ethanol injections in successful renal cyst ablation. Materials and Methods:We retrospectively reviewed the computed tomography and ultrasonography scans of 37 renal cysts. Two radiologists evaluated the characteristics of the presenting renal cysts, including size, calcification, septation, and lobulated configuration. Patients were divided into an "above-four" group and "below-three" group, according to the number of ethanol injections. Results: Among the 37 renal cysts, six belonged to the "above-four" group and 31 to the "below-three" group. The mean volume of "above-four" group was 409.48 cc and that of the other group was 301.64 cc. Seven renal cysts included three belonging to the "above-four" group, which showed calcification. Twelve renal cysts presented a multilocular appearance with thin septa, and included a cyst classified under the "above-four" group. Three renal cysts had lobulated configuration, with one of them belonging to the "above-four" group. Conclusion: No significant correlation was found among the different factors in the prediction of the frequency of renal cyst ablation. However, calcification was the most useful parameter for prediction of the number of renal cyst ablations needed.

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“…Inserting the catheter into many cysts for ethanol ablation is not easy and this may make the patient uncomfortable, and ethanol ablation of a renal cyst usually takes several days (27). …”

Section: Discussionmentioning

confidence: 99%

Cyst Ablation Using a Mixture of N-Butyl Cyanoacrylate and Iodized Oil in Patients with Autosomal Dominant Polycystic Kidney Disease: the Long-Term Results

Kim

Cho

2009

Korean J Radiol

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ObjectiveWe wanted to assess the long-term results of cyst ablation with using N-butyl cyanoacrylate (NBCA) and iodized oil in patients with autosomal dominant polycystic kidney disease (ADPKD) and symptomatic cysts.Materials and MethodsCyst ablation using a mixture of NBCA and iodized oil was performed in 99 cysts from 21 patients who had such symptoms as abdominal distension and pain. The collapse or reaccumulation of the ablated cysts after the procedure was assessed during the follow-up period of 36 to 90 months. The treatment effects, including symptom relief, and the clinical data such as the blood pressure and serum creatinine levels were also assessed, together with the complications.ResultsThe procedure was technically successful in all 99 cysts from the 21 patients. Any procedure-related significant complications were not detected. Seventy-seven of 99 cysts (78%) were successfully collapsed on the follow-up CT. Twenty-two cysts showed reaccumulation during long-term follow-up period. The clinical symptoms were relieved in 17 of the 21 patients (76%). Four of 12 patients (33%) with hypertension and two of six patients (33%) with azotemia were improved. End stage renal disease (ESRD) occurred in six of the 21 patients (28%) during the follow-up period. The mean age of ESRD in our patients was 57 years. The mean time interval for the development of ESRD was 19 months.ConclusionAblation using a mixture of NBCA and iodized oil may be an effective, safe method for obtaining symptom relief in patients with ADPKD.

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Ablation of Symptomatic Cysts Using Absolute Ethanol in 11 Patients with Autosomal-Dominant Polycystic Kidney Disease

Cited by 19 publications

References 20 publications

Pain in Chronic Kidney Disease: A Scoping Review

Pain in Chronic Kidney Disease: A Scoping Review

Predictors of the Frequency of Ethanol Injections for Renal Cyst Ablation: A Preliminary Study

Cyst Ablation Using a Mixture of N-Butyl Cyanoacrylate and Iodized Oil in Patients with Autosomal Dominant Polycystic Kidney Disease: the Long-Term Results

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