Related Experiment Video
Updated: Aug 12, 2025

Calcification of Vascular Smooth Muscle Cells and Imaging of Aortic Calcification and Inflammation
Published on: May 31, 2016
The pathophysiology and management of vascular calcification in chronic kidney disease patients
Mehmet Kanbay1,2, Sidar Copur3, Cem Tanriover3
1Department of Medicine, Division of Nephrology, Koc University School of Medicine, Istanbul, Turkey.
Insights
Vascular calcification (VC) in chronic kidney disease (CKD) patients causes significant health issues. This review analyzes VC pathophysiology, assessment, and treatments, highlighting the need for improved management strategies.
Area of Science:
- Nephrology
- Cardiovascular Medicine
- Pathology
Background:
- Vascular calcification (VC) is a critical comorbidity in chronic kidney disease (CKD) patients, contributing to high morbidity and mortality.
- VC involves pathological mineral deposition in the vascular intima and media, necessitating effective treatment strategies.
Approach:
- This review synthesizes current knowledge on VC pathophysiology in CKD.
- It details methods for predicting and assessing VC.
- The review covers existing and potential therapeutic interventions for VC.
Key Points:
- Predicting, assessing, and treating VC are crucial for managing CKD patients.
- Current therapeutic options for VC lack definitive evidence and consensus.
- Further research is needed to improve VC detection, documentation, and treatment.
Conclusions:
- Advances in VC research are expected in clinical management areas: prediction, assessment, and treatment.
- Improved prediction and assessment methods are vital, alongside developing new therapeutic alternatives.
- Future research will likely lead to targeted therapies and personalized management plans for CKD patients with VC.
Introduction:
Vascular calcification (VC) which is the pathological mineral deposition in the vascular system, predominantly at the intimal and medial layer of the vessel wall, is an important comorbidity in patients with chronic kidney disease (CKD) leading to significant morbidity and mortality while necessitating appropriate treatment. Our review aims to provide an in-depth analysis of the current understanding of VC.
Areas Covered:
In this review, we first discuss the pathophysiology of VC in CKD patients, then we explain the methods to predict and assess VC. Afterwards, we provide the currently available as well as the potential therapeutic approaches of VC. We finally discuss our understanding regarding the current situation surrounding VC in our expert opinion section.
Expert Opinion:
Predicting, assessing and treating VC is crucial and the future advances in the field of research surrounding VC will potentially occur in one or more of these three areas of clinical management. There is a current lack of evidence and consensus regarding specific therapeutic options for alleviating VC and this situation may not necessitate VC to be determined, detected, and documented before the available options are implemented. Regardless, the prediction and assessment of VC is still important and requires further improvement together with the developments in therapeutic alternatives. The future has the potential to bring better research which would guide and improve the management of this patient group. A more specialized approach consisting of targeted therapies and more tailored management plans for patients with CKD and VC is on the horizon.
Related Concept Videos
Chronic Kidney Disease III: Interprofessional Care
Chronic Kidney Disease IV: Nursing Management
Chronic Kidney Disease II: Clinical Manifestations
Chronic Kidney Disease I: Introduction
Urinary Tract Calculi III: Medical Management
Urinary Tract Calculi IV: Nutrition Therapy and Prevention

