A case of acute renal failure caused by cholesterol embolization after carotid artery stenting that was improved by peritoneal dialysis

Masashi Mizuno, Yasuhiko Ito, Takahiro Hayasaki, Yasuhiro Suzuki, Hideki Hiramatsu, Susumu Toda, Tomohiro Mizuno, Miho Tatematsu, Takenori Ozaki, Yoshinari Yasuda, Waichi Sato, Naotake Tsuboi, Isao Ito, Shoichi Maruyama, Enyu Imai, Seiichi Matsuo

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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.

Original languageEnglish
Pages (from-to)1719-1723
Number of pages5
JournalInternal Medicine
Volume50
Issue number16
DOIs
Publication statusPublished - 2011

All Science Journal Classification (ASJC) codes

  • Internal Medicine

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    Mizuno, M., Ito, Y., Hayasaki, T., Suzuki, Y., Hiramatsu, H., Toda, S., Mizuno, T., Tatematsu, M., Ozaki, T., Yasuda, Y., Sato, W., Tsuboi, N., Ito, I., Maruyama, S., Imai, E., & Matsuo, S. (2011). A case of acute renal failure caused by cholesterol embolization after carotid artery stenting that was improved by peritoneal dialysis. Internal Medicine, 50(16), 1719-1723. https://doi.org/10.2169/internalmedicine.50.5358