Perioperative Outcomes for Carotid Revascularization on Asymptomatic Patients on Dialysis Are Meeting Society for Vascular Surgery Guidelines

Abstract

The Society for Vascular Surgery practice guidelines currently recommend carotid revascularization for asymptomatic disease in patients with at least a 3-year life expectancy and stenosis >60% when perioperative stroke and death rate is <3%. It was previously suggested that dialysis-dependent patients did not meet perioperative stroke and death thresholds, nor long-term survival benchmarks to justify repair in asymptomatic patients. The goal of this study was to determine how dialysis-dependent patients have performed perioperatively relative to nondialysis patients in a contemporary, national cohort following carotid revascularization.