Systematic Reviews
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Urol. Mar 24, 2016; 5(1): 66-71
Published online Mar 24, 2016. doi: 10.5410/wjcu.v5.i1.66
Pre-transplant treatment of large polycystic kidney
Iván D Sáez, Juan F de la Llera, Andrés Tapia, Rodrigo A Chacón, Pedro A Figueroa, Bruno I Vivaldi, Alfredo Domenech, Christopher D Horn, Fernando Coz
Iván D Sáez, Juan F de la Llera, Andrés Tapia, Rodrigo A Chacón, Pedro A Figueroa, Bruno I Vivaldi, Alfredo Domenech, Christopher D Horn, Fernando Coz, Department of Urology, Military Hospital, Facultad de Medicina, Universidad de los Andes, Santiago 7850000, Chile
Author contributions: Sáez ID contributed to the literature search, revision, analysis and writing of the manuscript; de la Llera JF and Tapia A to the literature search, revision and writing of the manuscript; Chacón RA, Figueroa PA, Vivaldi BI and Domenech A contributed to the literature analysis and revision of the manuscript; Horn CD contributed to the literature search; Coz F contributed as head author.
Conflict-of-interest statement: There are no potential conflicts of interest. No financial support was received.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Fernando Coz, MD, Professor, Chairman, Department of Urology, Military Hospital, Facultad de Medicina, Universidad de los Andes, Avenida Larraín 9100, Metropolitan Region, Santiago 7850000, Chile. dr.fcoz@gmail.com
Telephone: +56-2-23316982 Fax: +56-2-23317168
Received: August 28, 2015
Peer-review started: September 2, 2015
First decision: November 24, 2015
Revised: December 11, 2015
Accepted: January 16, 2016
Article in press: January 19, 2016
Published online: March 24, 2016
Core Tip

Core tip: Pre-transplant management of polycystic kidneys for patients with end-stage renal disease is unclear. A number of studies have advocated in favor of bilateral nephrectomy prior to transplant, others promote simultaneous nephrectomy and kidney transplant. Arterial embolization to reduce native kidney volume appears as an effective and attractive alternative.