2019/05/19

CEA for dialysis-dependent patients; the risks outweigh the benefit?



Perioperative and Long-term Outcomes After Carotid Endarterectomy in Hemodialysis Patients.
https://www.ncbi.nlm.nih.gov/pubmed/27366897
JAMA Surg. 2016 Oct 1;151(10):947-952. doi: 10.1001/jamasurg.2016.1504.


米国の透析患者データベースを対象として、CEAを受けた患者の周術期合併症について後ろ向き研究
5124人が対象
無症状の患者に対しては、リスクの方が高くなるとの話。


Long-term morbidity and mortality of carotid endarterectomy in patients with end-stage renal disease receiving hemodialysis.
https://www.ncbi.nlm.nih.gov/pubmed/23830959
J Stroke Cerebrovasc Dis. 2014 Mar;23(3):545-9. doi: 10.1016/j.jstrokecerebrovasdis.2013.05.012. Epub 2013 Jul 4.



A contemporary evaluation of carotid endarterectomy outcomes in patients with chronic kidney disease in the United States.
https://www.ncbi.nlm.nih.gov/pubmed/28181855
Vascular. 2017 Oct;25(5):459-465. doi: 10.1177/1708538117691430. Epub 2017 Feb 9.


Impact of chronic kidney disease in patients undergoing percutaneous or surgical carotid artery revascularization: Insights of the healthcare cost and utilization Project's National Inpatient Sample.
https://www.ncbi.nlm.nih.gov/pubmed/27988086
Cardiovasc Revasc Med. 2016 Dec;17(8):560-565. doi: 10.1016/j.carrev.2016.08.014. Epub 2016 Sep 7.