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Updated: Aug 3, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
08:50

Assessment of Vascular Function in Patients With Chronic Kidney Disease

Published on: June 16, 2014

[Carotid endarterectomy in chronic renal failure patients: report of two cases]

Katsumi Matsumoto1, Katsuhito Akagi, Makoto Abekura

  • 1Department of Neurosurgery, Hanwa Memorial Hospital, 7-11-11, Karita, Sumiyoshi-ku, Osaka-city, Osaka 558-0011, Japan.

No Shinkei Geka. Neurological Surgery
|August 22, 2002
PubMed

Insights

Carotid atherosclerosis is common in chronic renal failure patients. Carotid endarterectomy is a safe and effective treatment for severe carotid stenosis in these patients, despite potential risks.

Area of Science:

  • Nephrology
  • Vascular Surgery
  • Neurology

Background:

  • Chronic renal failure (CRF) is a significant risk factor for atherosclerosis, particularly affecting the carotid arteries.
  • Carotid atherosclerosis can lead to serious neurological events like stroke and transient ischemic attacks.

Observation:

  • Two cases of severe carotid bifurcation stenosis in patients undergoing long-term hemodialysis are presented.
  • One patient experienced recurrent hemiparesis, while the other presented with vertigo.

Findings:

  • Both patients underwent successful carotid endarterectomy (CEA) for bilateral or unilateral carotid stenosis.
  • Postoperative recovery was uneventful, with no neurological deficits reported in either case.
  • Despite reported higher complication rates in CRF patients, CEA proved safe and effective in these instances.

Implications:

  • Carotid endarterectomy should be considered for patients with chronic renal failure and severe carotid stenosis.
  • This intervention can mitigate the risk of stroke and improve neurological outcomes in this high-risk population.
  • Further research into optimizing CEA in CRF patients is warranted to minimize potential complications.

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