Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
A Case of Acute Renal Failure Caused by Cholesterol Embolization after Carotid Artery Stenting that was Improved by Peritoneal Dialysis
Masashi MizunoYasuhiko ItoTakahiro HayasakiYasuhiro SuzukiHideki HiramatsuSusumu TodaTomohiro MizunoMiho TatematsuTakenori OzakiYoshinari YasudaWaichi SatoNaotake TsuboiIsao ItoShoichi MaruyamaEnyu ImaiSeiichi Matsuo
著者情報
ジャーナル オープンアクセス

2011 年 50 巻 16 号 p. 1719-1723

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抄録
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.
著者関連情報
© 2011 by The Japanese Society of Internal Medicine
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