Percutaneous transcatheter renal embolization with absolute ethanol for uncontrolled nephrotic syndrome: Case reports

Abstract

Permanent bilateral ethanol embolization of the renal arteries is a feasible method of managing a treatment-resistant nephrotic syndrome in selected patients. Non-target embolization can be avoided by using a balloon occlusion catheter.

Embolization of insufficiently ligated renal artery after open nephrectomy with absolute ethanol injection

“…Alone or in combination with particles and coils, alcohol was used in the treatment of bleeding angiomyolipomas (16). The alcohol embolotherapy proved effective in patients with uncontrolled nephrotic syndrome and,, in patients with polycystic kidneys as well as in those with end-stage hydronephrosis (17)(18)(19). It is efficient in lowering proteinuria and systemic hypertension, shrinkage of cystic masses, and prevention of bleeding disorders.…”

Transcatheter Arterial Embolization with Ethanol Injection in Symptomatic Patients with Enlarged Polycystic Kidneys

“…There have been many reports of the use of renal TAE with ethanol (16)(17)(18)(19)(20)(21). Ethanol has a permanent embolic effect covering the peripheral area; thus, its characteristics could also be beneficial for the treatment of polycystic kidney disease (16,22).…”

Transarterial Nephrectomy: The Current Status of Experimental and Clinical Studies

“…[43][44][45][46][47][48][49] However, there might be still some relevant indication for this procedure, such as the ablation of a graft after rejection, 50,51 and bilateral embolization of the remaining kidneys in transplant patients. 52,53 The decision has to be made according to the relative invasiveness of the procedure and the postoperative course. 54,55 In case of renal cell carcinoma, the efficiency of adjuvant autologous vaccine therapy may again stimulate randomized clinical trials focusing on the oncological impact of preoperative renal tumor embolization.…”