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

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概要

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• 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.

著者

• Yasuda Yoshinari

  Department Of Clinical Immunology Nagoya University Graduate School Of Medicine

• Tatematsu Miho

  Department Of Nephrology And Rheumatology Tosei General Hospital

• MIZUNO Tomohiro

  Department of Cardiothoracic Surgery, Tokyo Medical and Dental University Graduate School of Medicin

• Maruyama Shoichi

  Department Of Clinical Immunology Nagoya University Graduate School Of Medicine

• Matsuo Seiichi

  Department Of Clinical Immunology Nagoya University Graduate School Of Medicine

• Suzuki Yasuhiro

  Department Of Breast And Endocrine Surgery Tokai University School Of Medicine

• Hiramatsu Hideki

  Department Of Medicine Toyokawa City Hospital

• Mizuno Masashi

  Department Of Agrobioscience Graduate School Of Agricultural Science Kobe University

• Ito Yasuhiko

  Department Of Biomedical Sciences College Of Life And Health Sciences Chubu University

• Ito Isao

  Department Of Biology Faculty Of Science 33 Kyushu University

• Toda Susumu

  Department Of Nephrology Nagoya University Graduate School Of Medicine

• Sato Waichi

  Department Of Nephrology Nagoya University Graduate School Of Medicine

• Ozaki Takenori

  Department Of Nephrology Nagoya University Graduate School Of Medicine

• Tsuboi Naotake

  Department Of Nephrology Nagoya University Graduate School Of Medicine

• IMAI Enyu

  Department of Geriatric Medicine and Nephrology, Osaka University Graduate School of Medicine

• Imai Enyu

  Department of Nephrology, Nagoya University Graduate School of Medicine, Japan

• Hayasaki Takahiro

  Department of Nephrology, Nagoya University Graduate School of Medicine, Japan

• Hiramatsu Hideki

  Department of Renal Replacement Therapy, Nagoya University Graduate School of Medicine, Japan

• Tatematsu Miho

  Department of Nephrology, Nagoya University Graduate School of Medicine, Japan

• Ozaki Takenori

  Department of Nephrology, Nagoya University Graduate School of Medicine, Japan

• ITO Isao

  Department of Agricultural Chemistry, Faculty of Agriculture, Nagoya University

• Ito Isao

  Department of Nephrology, Nagoya University Graduate School of Medicine, Japan

• Yasuda Yoshinari

  Department of Nephrology, Nagoya University Graduate School of Medicine, Japan

• Matsuo Seiichi

  Department of Nephrology, Nagoya University Graduate School of Medicine, Japan

• Tsuboi Naotake

  Department of Nephrology, Nagoya University Graduate School of Medicine, Japan

• Sato Waichi

  Department of Nephrology, Nagoya University Graduate School of Medicine, Japan

• Ito Yasuhiko

  Department of Renal Replacement Therapy, Nagoya University Graduate School of Medicine, Japan

• Suzuki Yasuhiro

  Department of Renal Replacement Therapy, Nagoya University Graduate School of Medicine, Japan

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