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Saudi Journal of Kidney Diseases and Transplantation
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CASE REPORT Table of Contents   
Year : 2012  |  Volume : 23  |  Issue : 6  |  Page : 1258-1261
Renal ablation using bilateral renal artery embolization for treatment of resistant nephrotic syndrome


1 Department of Medicine, Al-Amiri Hospital, Kuwait
2 Department of Medicine, Faculty of Medicine, Kuwait University, Kuwait
3 Department of Clinical Radiology, Al-Amiri Hospital, Kuwait

Correspondence Address:
Kamel El-Reshaid
Department of Medicine, Faculty of Medicine, Kuwait University, P. O. Box 24923, 13110 Safat
Kuwait
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1319-2442.103572

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An 18-year-old man presented with severe nephrotic syndrome due to focal segmental glomerulosclerosis. His disease failed to remit with corticosteroids, calcineurin inhibitors, mycophenolate and rituximab. As his disease progressed with time, his anasarca became more resistant to high-dose combination diuretics and he developed multiple life-threatening bacterial infections. He was subjected to bilateral renal artery embolization with 99.8% alcohol to ablate his kidneys. Subsequently, the patient was maintained on hemodialysis and had normal serum albumin and did not have further infections. The procedure itself was simple and well tolerated, with only a minor post-embolization syndrome.


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