Nonfunctioning XXXX as an alternative to graft nephrectomy: report on seven years' experience.

@entity1 @entity8 @entity4832 @entity167 @entity1416 @entity2885
PURPOSE: Graft nephrectomy is the treatment of choice in @entity1 with graft intolerance syndrome, but it is associated with high morbidity and mortality rates. @entity8 has been suggested as a possible alternative. The aim of this study was to evaluate the efficacy and safety of @entity1416 of these nonfunctioning transplanted kidneys. METHODS: Twenty-six transplanted kidneys in 25 @entity1 with irreversible renal graft rejection and graft intolerance who underwent @entity1416 at our center from August 1994 to April 2001 were analyzed for procedural success and long-term outcome. Embolization was performed with absolute @entity167 or with @entity4832 (Ivalon) and coils. RESULTS: Twenty-four of the 26 (92%) procedures were technically successful, but in one @entity1 only partial occlusion of one of two renal arteries was achieved, and in another the renal artery was already completely occluded. There were two major complications: @entity2885 necessitating nephrectomy and groin abscess that was drained. Follow-up ranged from 8 to 84 months. Clinical success was achieved in 24 of the 26 procedures (92%), and only in one @entity1 did embolization fail to relieve the symptoms, and nephrectomy was performed 3 months later. CONCLUSION: @entity8 is a simple, safe and effective technique for the treatment of nonfunctioning renal allografts associated with graft intolerance syndrome. We suggest that it be considered the treatment of choice.
