Abstract
Surgical outcomes of and suggestions for carotid endarterectomy in patients on hemodialysis: report of 7 cases and literature review
Highlights
IntroductionChronic dialysis is considered a risk factor for atherosclerosis [1]
The number of patients on dialysis in Japan currently exceeds 300,000
Hokari M (2021) Surgical outcomes of and suggestions for carotid endarterectomy in patients on hemodialysis: report of 7 cases and literature review current smoking, stenosis degree, plaque characteristics, contralateral lesion, hypertension (HT) or current treatment status, diabetes mellitus (DM) or current treatment status, hyperlipidemia (HL) or current treatment status, ischemic heart disease (IHD) or current treatment status, and previous treatment of arteriosclerosis obliterans (ASO) or diagnosed as femoral artery stenosis more than 50%
Summary
Chronic dialysis is considered a risk factor for atherosclerosis [1]. For those on hemodialysis (HD), the relative risk of stroke and cerebral infarction is 5.2 and 2.0, respectively [2]. Several authors have reported a higher incidence of carotid artery plaque in patients on HD [3,4]. According to a report by Pascazio, et al 74% of HD patients have evidence of carotid plaque [4]. Carotid endarterectomy is an established surgical treatment for patients with severe carotid artery stenosis, but there are only a few reports dealing with the procedure in hemodialysis patients. We report the results of carotid endarterectomy in those on hemodialysis in our hospital
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