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, Nom de l'auteur : SALJOGHI ROMAIN

, Titre de thèse : Embolisation artérielle des reins polykystiques en alternative à la néphrectomie ergonomique en pré greffe rénale. Étude monocentrique rétrospective sur 15 cas

M. Thèse, , p.134, 2017.

, Mots clés : polykystose rénale autosomique dominante ; embolisation de l'artère rénale ; dialyse

. Résumé,

, Introduction Le but de cette étude était d'évaluer rétrospectivement la décroissance du volume rénal total après embolisation de l'artère rénale (EAR) dans une cohorte de patients atteints de polykystose rénale autosomique dominante en contre-indication temporaire de greffe pour des raisons ergonomiques

. Matériel and . Méthode-entre-novembre, 15 patients (11 hommes, 4 femmes) ont bénéficié d'une EAR dans un contexte de préparation à la greffe, 2014.

, Résultats Le volume rénal total (VRT) moyen initial était de 2550,6 cm 3 ± 1771 (1102 cm 3-7310 cm 3 )

L. Vrt-moyen-À, 3 mois était de 1684 cm 3 ± 1539 (648 cm 3-6930 cm 3 ) avec une réduction moyenne de 33% du volume (5,2 %-83, vol.9, pp.3-6758

, cm 3 ) à 6 mois avec une réduction moyenne de, vol.40, p.0

, 6%) ont vu leur contre-indication ergonomique levée, et 7 (46,6%) ont été greffés sans difficultés à ce jour. Un échec résultait d'un volume initial très élevé (7310 cm 3 ) et nécessitait une néphrectomie secondaire. Aucun syndrome post embolisation n'a été relevé, 2 complications mineures sont survenues (13%) avec une reprise difficile du, vol.13

, Conclusion L'EAR est une procédure mini invasive qui doit avoir sa place dans la stratégie ergonomique pré-transplantation chez les sujets atteints de PKRAD, avec un faible taux de complications et une efficacité élevée. Les indications de la néphrectomie pré greffe doivent donc être reconsidérées en raison d'un risque post opératoire important. Nos résultats confirment ceux retrouvés dans les plus grandes cohortes