-
Case Report
-
Korean J Med. 2015;88(4):453-458. Published online April 1, 2015.
DOI: https://doi.org/10.3904/kjm.2015.88.4.453
- 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.
- 혈액 투석을 받고 있는 상염색체 우성 다낭성 신 질환 환자에서 에탄올을 이용한 신동맥 색전술은 신장 크기 증가로 인한 복부 팽만, 복통 등의 증상 완화에 비교적 안전하고 효과적인 치료 방법으로 생각되며 이전에 시행하였던 수술적 제거술, 경화 요법, 감압법 등을 대체할 수 있는 효과적인 방법으로 생각되어 문헌고찰과 함께 5예를 보고하는 바이다.
߽ɾ :다낭성 신병증; 신동맥 색전술; 복부 컴퓨터 단층촬영
- 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
