Percutaneous Renal Artery Embolization in a Patient with Severe Nephrotic Syndrome which Continued after the Introduction of Hemodialysis

Atsuhiro Maeda; Kazuhito Takeda; Hideki Kondou; Hiroshi Kimura; Shuuhei Miura; Satsuki Nakashita; Masahide Furushou; Hideyuki Mukai; Yoshiharu Mutou; Noriko Uesugi

doi:10.2169/internalmedicine.50.5880

CASE REPORTS

Percutaneous Renal Artery Embolization in a Patient with Severe Nephrotic Syndrome which Continued after the Introduction of Hemodialysis

Atsuhiro Maeda, Kazuhito Takeda, Hideki Kondou, Hiroshi Kimura, Shuuhei Miura, Satsuki Nakashita, Masahide Furushou, Hideyuki Mukai, Yoshiharu Mutou, Noriko Uesugi

Author information

Atsuhiro Maeda
Department of Nephrology and Kidney Center, Aso-Iizuka Hospital, Japan
Kazuhito Takeda
Department of Nephrology and Kidney Center, Aso-Iizuka Hospital, Japan
Hideki Kondou
Department of Nephrology and Kidney Center, Aso-Iizuka Hospital, Japan
Hiroshi Kimura
Department of Nephrology and Kidney Center, Aso-Iizuka Hospital, Japan
Shuuhei Miura
Department of Nephrology and Kidney Center, Aso-Iizuka Hospital, Japan
Satsuki Nakashita
Department of Nephrology and Kidney Center, Aso-Iizuka Hospital, Japan
Masahide Furushou
Department of Nephrology and Kidney Center, Aso-Iizuka Hospital, Japan
Hideyuki Mukai
Department of Nephrology and Kidney Center, Aso-Iizuka Hospital, Japan
Yoshiharu Mutou
Department of Nephrology and Kidney Center, Aso-Iizuka Hospital, Japan
Noriko Uesugi
Department of Pathology, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Japan

Keywords: percutaneous renal artery embolization, nephrotic syndrome, hemodialysis, medical nephrectomy, membranous nephropathy

JOURNAL OPEN ACCESS

2011 Volume 50 Issue 23 Pages 2899-2904

DOI https://doi.org/10.2169/internalmedicine.50.5880

Details

Abstract

We treated a woman with membranous nephropathy in whom serious nephrotic syndrome (NS) continued even after the introduction of hemodialysis (HD). No response was seen with conservative treatment, including administration of steroids and albumin transfusion and body fluid management with HD. Hypoalbuminemia continued, and management of her general condition was problematic because of the hypotension, edema, pleural and peritoneal effusions. We performed percutaneous renal artery embolization (RAE), voluntary urine output disappeared for a short time, and good clinical course was subsequently seen with sustainable serum albumin levels of around 3 g/dL.

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