Implications of Renal Disease in Patients Undergoing Peripheral Arterial Interventions

Interv Cardiol Clin. 2020 Jul;9(3):345-356. doi: 10.1016/j.iccl.2020.02.007. Epub 2020 May 8.

Abstract

Since the first peripheral endovascular intervention (PVI) in 1964, the procedure's technical aspects and indications have advanced significantly. Today, endovascular procedures span the spectrum of presentations from acute limb ischemia to critical limb ischemia and symptomatic limiting claudication. Goals of PVI remain restoring limb perfusion, minimizing rates of amputation and mortality, and sparing the need for the high-risk bypass surgery. Unfortunately, there are no large randomized controlled trials that address the optimal approach to peripheral arterial disease revascularization in chronic kidney disease (CKD) patients.

Keywords: Chronic renal disease; Claudication; Critical limb ischemia; Peripheral arterial disease; Peripheral arterial intervention.

Publication types

  • Review

MeSH terms

  • Acute Kidney Injury / chemically induced*
  • Acute Kidney Injury / diagnosis
  • Acute Kidney Injury / physiopathology
  • Aged, 80 and over
  • Amputation, Surgical / statistics & numerical data
  • Angiography / adverse effects
  • Ankle Brachial Index / methods
  • Contrast Media / adverse effects
  • Early Diagnosis
  • Endovascular Procedures / adverse effects*
  • Humans
  • Intermittent Claudication / diagnosis
  • Intermittent Claudication / mortality
  • Intermittent Claudication / prevention & control
  • Ischemia / surgery*
  • Lower Extremity / blood supply
  • Lower Extremity / pathology*
  • Male
  • Mortality / trends
  • Peripheral Arterial Disease / diagnosis
  • Peripheral Arterial Disease / epidemiology
  • Peripheral Arterial Disease / physiopathology
  • Peripheral Arterial Disease / prevention & control*
  • Renal Insufficiency, Chronic / complications*
  • Renal Insufficiency, Chronic / epidemiology
  • Renal Insufficiency, Chronic / mortality
  • Renal Insufficiency, Chronic / physiopathology
  • Risk Factors
  • United States / epidemiology

Substances

  • Contrast Media