Abstract

Current renal transplantation guidelines at our institution require patients with high-grade carotid artery stenosis (CAS) (>80%) to either undergo carotid revascularization prior to listing or eliminate them as transplant candidates. The majority of these patients do not meet safety criteria to proceed with revascularization and are alternatively managed with optimal medical therapy. We sought to determine if maximal medical management offers benefit or protection from adverse events in patients with high-grade CAS and end-stage renal disease (ESRD).

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