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

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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.

Original languageEnglish (US)
Pages (from-to)153-154
Number of pages2
JournalClinical Kidney Journal
Volume5
Issue number2
DOIs
StatePublished - 2012

Keywords

  • amyloidosis
  • nephrotic
  • ureteral ligation

ASJC Scopus subject areas

  • Nephrology
  • Transplantation

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