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Effects of dialysis on peripheral arterial disease.
- Source :
-
Seminars in vascular surgery [Semin Vasc Surg] 2024 Dec; Vol. 37 (4), pp. 412-418. Date of Electronic Publication: 2024 Oct 05. - Publication Year :
- 2024
-
Abstract
- End-stage renal disease is an independent risk factor for the development of peripheral arterial disease, with considerably worse outcomes in patients with concomitant diseases. It is important to realize the widespread, yet frequently asymptomatic, nature of peripheral arterial disease in patients with end-stage renal disease due to the presence of other comorbidities that decrease activity levels and sensation to allow for early recognition and timely medical management to try and mitigate otherwise poor outcomes. Despite their high risk, properly selected patients derive benefit from revascularization; both open and endovascular approaches provide similar outcomes in terms of overall survival, amputation-free survival, and limb salvage, with perhaps a slight preference toward open repair. This narrative review of the literature evaluates the epidemiology, pathophysiology, outcomes, and management strategies that provide the best possible outcomes for patients with peripheral arterial disease and end-stage renal disease.<br />Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this article.<br /> (Copyright © 2024 Elsevier Inc. All rights reserved.)
- Subjects :
- Humans
Risk Factors
Treatment Outcome
Limb Salvage
Risk Assessment
Vascular Surgical Procedures adverse effects
Vascular Surgical Procedures mortality
Endovascular Procedures adverse effects
Endovascular Procedures mortality
Amputation, Surgical
Comorbidity
Peripheral Arterial Disease therapy
Peripheral Arterial Disease physiopathology
Peripheral Arterial Disease mortality
Peripheral Arterial Disease diagnosis
Peripheral Arterial Disease epidemiology
Kidney Failure, Chronic therapy
Kidney Failure, Chronic diagnosis
Kidney Failure, Chronic mortality
Renal Dialysis adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1558-4518
- Volume :
- 37
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Seminars in vascular surgery
- Publication Type :
- Academic Journal
- Accession number :
- 39675850
- Full Text :
- https://doi.org/10.1053/j.semvascsurg.2024.09.001