Original Article

Peripheral Vascular Disease Intervention in Patients With End‐Stage Renal Disease Few Complications in Those Treated With Peritoneal Dialysis

Authors: KELLY L. McCOY MD, DAVID R. GOLDSTEIN MD, VIVIAN GAHTAN MD, GREGORY MAYRO, MORRIS D. KERSTEIN MD

Abstract

Abstract Background. We assessed the results of peripheral vascular surgery in patients with end‐stage renal disease (ESRD) who were being treated with peritoneal dialysis. Methods. Sixty‐seven ESRD patients on peritoneal dialysis who had peripheral vascular surgery were assessed retrospectively for preoperative risk factors, primary and secondary patency rates, and mortality. The study group had 48 proximal femoral‐popliteal bypasses, 12 distal femoral‐popliteal bypasses, and 7 distal femoral‐tibial and/or peroneal revascularizations. Results. Among 67 peritoneal dialysis patients, 15 deaths (22%) occurred over 68 months (mean, 14 months). Conclusion. Patients on peritoneal dialysis had adequate patency rates and length of survival after peripheral vascular surgery when maintained on peritioneal dialysis.

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References