I have a case for which I would appreciate other’s thoughts.

A 19 year old male with biopsy proven  FSGS treated with n prednisone, tacro, cellcept  for many years, but unfortunately progressed to needing dialysis several months ago.He still  has a good urine output (~ 2L/day) but has heavy proteinuria  spilling 35 g of protein per day.  His albumin values on last two monthly blood tests were 0.7 g/dl. Obviously he is at risk for hypoalbuminemic related complication. how can i  shut down his kidneys to halt the protein loss? It seems to me that radiographic embolization would be preferable to either nephrectomy or medical nephrectomy with high dose NSAIDs.

Does anyone have experience with this situation?

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