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Amyloid
The Journal of Protein Folding Disorders
Volume 17, 2010 - Issue 1
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Original Article

When urine is no longer beneficial: renal artery embolisation in severe nephrotic syndrome secondary to amyloidosis

, , &
Pages 24-26 | Published online: 05 Feb 2010
 

Abstract

Renal artery embolisation (RAE) is an interventional radiology procedure which is used to embolise small branches of renal artery. It is mainly used for urologic purposes, i.e., vascular malformations, angiomyolipomas and renal tumours not amenable to surgical resection. Bilateral RAE can be performed via using absolute ethanol, polyvinyl alcohol or microparticles. After RAE, patients may experience post-embolisation syndrome which is usually self-limited. Use of this procedure for refractory nephrotic syndrome has been rarely defined in the literature to date. Here, we describe a patient who had nephrotic syndrome due to secondary systemic amyloidosis. The patient presented with severe proteinuria (33 g per day), hypoalbuminaemia and anasarca oedema. We applied bilateral RAE with microparticles. We did not observe any complications associated with the procedure. Protein excretion, laboratory values and clinical signs returned to normal.

Abbreviations
RAE=

renal artery embolisation

ANA=

antinuclear antibody

ANCA=

anti-neutrophil cytoplasmic antibody

ENA=

extractable nuclear antigen

Abbreviations
RAE=

renal artery embolisation

ANA=

antinuclear antibody

ANCA=

anti-neutrophil cytoplasmic antibody

ENA=

extractable nuclear antigen

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

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