Peripheral vascular disease intervention in patients with end-stage renal disease: few complications in those treated with peritoneal dialysis
McCoy, K.L.; Goldstein, D.R.; Gahtan, V.; Mayro, G.; Kerstein, M.D.
Southern Medical Journal 94(10): 1002-1005
2001
ISSN/ISBN: 0038-4348 PMID: 11702811 Document Number: 535318
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 peritoneal dialysis.