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Effects of dialysis on peripheral arterial disease.

Authors :
Liebscher SC
Bertges DJ
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.)

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