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Renal Cyst Ablation with n-Butyl Cyanoacrylate and Iodized Oil in Symptomatic Patients with Autosomal Dominant Polycystic Kidney Disease: Preliminary Report¹

¹ From the Departments of Radiology (Seung Hyup Kim, M.W.M., H.J.L., J.S.S., Sun Ho Kim) and Internal Medicine (C.A.), Seoul National University Hospital, 28 Yongon-Dong, Chongno-Gu, Seoul 110-744, Korea; Institute of Radiation Medicine, Seoul National University Medical Research Center, Korea; and Clinical Research Institute, Seoul National University Hospital, Korea. Received September 24, 2001; revision requested October 29; final revision received May 6, 2002; accepted May 7. Supported by Seoul National University Research Fund 2001. Address correspondence to Seung Hyup Kim (e-mail: kimsh@radcom.snu.ac.kr).

Fifty renal cysts in 14 patients with autosomal dominant polycystic kidney disease (ADPKD) were treated with percutaneous needle aspiration and intracystic injection of a mixture of n-butyl cyanoacrylate and iodized oil in a ratio of 1:2. At follow-up of 1–12 months, symptoms improved in 12 (86%) of 14 patients, and 25 (81%) of 31 cysts decreased more than 50% in diameter. This procedure appears to be feasible and may be an effective modality in ablation of renal cysts in patients with ADPKD.

© RSNA, 2003

Index terms: Kidney, cysts, 81.311 • Kidney, diseases, 81.3121 • Kidney, interventional procedures, 81.1262, 81.1269 • Sclerotherapy

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