Chronic kidney pain in autosomal dominant polycystic kidney disease: a case report of successful treatment by catheter-based renal denervation

Am J Kidney Dis. 2014 Jun;63(6):1019-21. doi: 10.1053/j.ajkd.2013.12.011. Epub 2014 Feb 8.

Abstract

Chronic pain is a common concern in patients with autosomal dominant polycystic kidney disease (ADPKD). We report what to our knowledge is the first catheter-based renal denervation procedure in a patient with ADPKD resulting in successful management of chronic pain. The patient was a 43-year-old woman whose chronic pain could not be controlled by pain medication or splanchnic nerve blockade. Transluminal radiofrequency renal denervation was performed as an experimental therapeutic option with an excellent result, indicating that this procedure should be considered for chronic pain management in ADPKD.

Keywords: Autosomal dominant polycystic disease; chronic pain; management; radiofrequency ablation; renal denervation.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / etiology
  • Adult
  • Catheter Ablation*
  • Chronic Pain / etiology
  • Chronic Pain / therapy*
  • Denervation / methods*
  • Female
  • Humans
  • Kidney / diagnostic imaging
  • Kidney / innervation*
  • Polycystic Kidney, Autosomal Dominant / complications*
  • Tomography, Spiral Computed