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Clin Kidney J. 2012 Apr;5(2):153-154. doi: 10.1093/ndtplus/sfr160. Epub 2012 Feb 22.

Renal ablation using bilateral ureteral ligation for nephrotic syndrome due to renal amyloidosis.

Clinical kidney journal

Mira T Keddis, Mark D Stegall, Stephen C Textor

Affiliations

  1. Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN.
  2. Division of Transplantation Surgery, Mayo Clinic, Rochester, MN.

PMID: 29497519 PMCID: PMC5783203 DOI: 10.1093/ndtplus/sfr160

Abstract

Nephrotic syndrome is common in immunoglobulin light chain amyloidosis (AL). In patients who do not achieve renal recovery, renal ablation has been reported for intractable proteinuria. We describe a patient with renal-limited AL who failed therapy and developed disabling proteinuria. He underwent laparoscopic ligation of the native ureters. Post-operatively, blood pressure improved. Hemodialysis was initiated. We conclude that bilateral ureteral ligation is a novel and minimally invasive method of renal ablation and may be considered for patients with refractory nephrotic syndrome.

Keywords: amyloidosis; nephrotic; ureteral ligation

References

  1. Am J Transplant. 2011 Dec;11(12):2747-50 - PubMed
  2. Clin J Am Soc Nephrol. 2007 May;2(3):440-4 - PubMed
  3. Nephrol Dial Transplant. 2009 Oct;24(10):3132-7 - PubMed
  4. Amyloid. 2010 Mar;17(1):24-6 - PubMed
  5. Trans Am Soc Artif Intern Organs. 1976;22:431-8 - PubMed
  6. Radiology. 1986 May;159(2):447-51 - PubMed
  7. Am J Kidney Dis. 1993 Mar;21(3):260-3 - PubMed
  8. Nephrol Dial Transplant. 1994;9(1):83-4 - PubMed
  9. J Urol. 2002 Jan;167(1):29-30 - PubMed
  10. Am J Nephrol. 1985;5(4):236-42 - PubMed

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