Mahesh Kumar

ADPKD is an inherited cystic disease, in which the kidney size continues to grow in spite of patient being on dialysis. This leads to some disturbing symptoms that warrant reduction of kidney size. Renal contraction therapy was conventionally been done by laparoscopic or open nephrectomy, cyst marsupialization or cyst decortication. Such procedures were technically demanding and have not yielded satisfactory results. Over the last few decades endovascular procedures have evolved and are now being performed on various vascular beds and for an ever increasing list of indications. The procedure is not technically cumbersome and is minimally invasive. These procedures can be preformed safely even in patients deemed unfit for conventional anaesthesia and surgery. The outcomes are satisfactory with reduced risk of morbidity and mortality. We report 2 cases were transcatheter arterial embolization was done and interestingly one of these patients was benefitted with improved clearance on CAPD.