Therapeutic Bilateral Renal Infarction in End-Stage Renal Disease

Abstract

Bilateral nephrectomy, which has been performed in patients with end-stage renal disease for a variety of reasons, has a substantial morbidity and an appreciable mortality.1 2 3 We recently used the technic of renal-artery embolization in a patient with malnutrition and recurrent hypovolemia due to severe nephrotic syndrome. Bilateral renal infarction abolished the patient's heavy proteinuria and avoided the surgical risks of bilateral nephrectomy.Case ReportNephrotic syndrome secondary to focal sclerosis developed in a 48-year-old woman in 1968. In January, 1975, chronic hemodialysis was instituted for treatment of end-stage renal disease. After four months of chronic dialysis, the 24-hour urinary protein . . .