title: A case of acute renal failure caused by cholesterol embolization after carotid artery stenting that was improved by peritoneal dialysis.
abstract: A 68-year-old man was admitted with acute renal failure caused by cholesterol embolization after undergoing carotid artery stenting. Hemodialysis therapy (HD) was immediately required because of uremia, using nafamostat mesilate as an anticoagulant for HD. However, blue toes and gangrene of the feet worsened. To prevent use of anticoagulants and stabilize BP, HD was changed to peritoneal dialysis (PD). After starting PD, blue toes and gangrene improved markedly. Residual renal function also partially recovered. Although BP was unstable during HD, stability of BP and avoidance of anticoagulants during PD therapy might have contributed to the good results.
authors.affiliation: Department of Renal Replacement Therapy, Nagoya University Graduate School of Medicine, Japan. mmizu@med.nagoya-ac.jp
authors.forename: Masashi
authors.initials: M
authors.lastname: Mizuno
authors.forename: Yasuhiko
authors.initials: Y
authors.lastname: Ito
authors.forename: Takahiro
authors.initials: T
authors.lastname: Hayasaki
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Suzuki
authors.forename: Hideki
authors.initials: H
authors.lastname: Hiramatsu
authors.forename: Susumu
authors.initials: S
authors.lastname: Toda
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Mizuno
authors.forename: Miho
authors.initials: M
authors.lastname: Tatematsu
authors.forename: Takenori
authors.initials: T
authors.lastname: Ozaki
authors.forename: Yoshinari
authors.initials: Y
authors.lastname: Yasuda
authors.forename: Waichi
authors.initials: W
authors.lastname: Sato
authors.forename: Naotake
authors.initials: N
authors.lastname: Tsuboi
authors.forename: Isao
authors.initials: I
authors.lastname: Ito
authors.forename: Shoichi
authors.initials: S
authors.lastname: Maruyama
authors.forename: Enyu
authors.initials: E
authors.lastname: Imai
authors.forename: Seiichi
authors.initials: S
authors.lastname: Matsuo
mesh_terms: D058186:Acute Kidney Injury / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D000368:Aged; D002339:Carotid Arteries / Q000473:pathology / Q000601:surgery*; D017700:Embolism, Cholesterol / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008297:Male; D010530:Peritoneal Dialysis / Q000379:methods; D015607:Stents / Q000009:adverse effects*