A case of acute renal failure caused by cholesterol embolization after carotid artery stenting that was improved by peritoneal dialysis
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Updated: May 30, 2026

Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis
Published on: July 19, 2018
Masashi Mizuno1, Yasuhiko Ito, Takahiro Hayasaki
1Department of Renal Replacement Therapy, Nagoya University Graduate School of Medicine, Japan. mmizu@med.nagoya-ac.jp
Abstract:
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.
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