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

doi:10.2169/internalmedicine.50.5358

CASE REPORTS

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

Author information

Masashi Mizuno
Department of Renal Replacement Therapy, Nagoya University Graduate School of Medicine, Japan
Department of Nephrology, Nagoya University Graduate School of Medicine, Japan
Yasuhiko Ito
Department of Renal Replacement Therapy, Nagoya University Graduate School of Medicine, Japan
Department of Nephrology, Nagoya University Graduate School of Medicine, Japan
Takahiro Hayasaki
Department of Nephrology, Nagoya University Graduate School of Medicine, Japan
Yasuhiro Suzuki
Department of Renal Replacement Therapy, Nagoya University Graduate School of Medicine, Japan
Department of Nephrology, Nagoya University Graduate School of Medicine, Japan
Hideki Hiramatsu
Department of Renal Replacement Therapy, Nagoya University Graduate School of Medicine, Japan
Susumu Toda
Department of Nephrology, Nagoya University Graduate School of Medicine, Japan
Tomohiro Mizuno
Department of Neuropsychopharmacology and Hospital Pharmacy, Nagoya University Graduate School of Medicine, Japan
Miho Tatematsu
Department of Nephrology, Nagoya University Graduate School of Medicine, Japan
Takenori Ozaki
Department of Nephrology, Nagoya University Graduate School of Medicine, Japan
Yoshinari Yasuda
Department of Nephrology, Nagoya University Graduate School of Medicine, Japan
Waichi Sato
Department of Nephrology, Nagoya University Graduate School of Medicine, Japan
Naotake Tsuboi
Department of Nephrology, Nagoya University Graduate School of Medicine, Japan
Isao Ito
Department of Nephrology, Nagoya University Graduate School of Medicine, Japan
Shoichi Maruyama
Department of Nephrology, Nagoya University Graduate School of Medicine, Japan
Enyu Imai
Department of Nephrology, Nagoya University Graduate School of Medicine, Japan
Seiichi Matsuo
Department of Nephrology, Nagoya University Graduate School of Medicine, Japan

Keywords: peritoneal dialysis, cholesterol embolization, carotid artery stenting, acute renal failure

JOURNAL OPEN ACCESS

2011 Volume 50 Issue 16 Pages 1719-1723

DOI https://doi.org/10.2169/internalmedicine.50.5358

Details

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.

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