A Case of Acute Renal Failure Caused by Cholesterol Embolization after Carotid Artery Stenting that was Improved by Peritoneal Dialysis

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

来源：Internal Medicine, 2011, 50(16): 1719-1723.

DOI：10.2169/internalmedicine.50.5358

• peritoneal dialysis
• cholesterol embolization
• carotid artery stenting
• acute renal failure

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.

• 出版日期2011