Unilateral Renal Transcatheter Arterial Embolization Enabling the Continuation of Peritoneal Dialysis In Autosomal Dominant Polycystic Kidney Disease

Kidney enlargement in autosomal dominant polycystic kidney disease (ADPKD) can cause symptoms of abdominal compression and nutritional deterioration. Renal transcatheter arterial embolization (TAE) is typically performed bilaterally for kidney volume reduction in patients with ADPKD undergoing hemodialysis. We report the case of a 61-year-old woman with ADPKD who developed abdominal distension and poor appetite after initiating peritoneal dialysis (PD). Unilateral renal TAE was performed to relieve compression symptoms and preserve the renal function, resulting in a 60% reduction in the left kidney volume, symptom relief, an improved nutritional status, and the continuation of PD. Unilateral renal TAE may be an effective therapeutic option in patients with ADPKD who have selected PD.