Stent placement in the superficial femoral artery for patients on chronic hemodialysis with peripheral artery disease

• Published in: International angiology Vol. 28; no. 6; pp. 484 - 489
• Main Authors: NISHIBE, T, KONDO, Y, DARDIK, A, MUTO, A, KOIZUMI, J, NISHIBE, M
• Format: Journal Article
• Language: English
• Published: Torino Minerva Medica 01.12.2009; Edizioni Minerva Medica
• Subjects: Aged; Angiography, Digital Subtraction; Angioplasty, Balloon - adverse effects; Angioplasty, Balloon - instrumentation; Angioplasty, Balloon - mortality; Ankle Brachial Index; Biological and medical sciences; Blood and lymphatic vessels; Cardiology. Vascular system; Case-Control Studies; Chronic Disease; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous; Female; Femoral Artery - diagnostic imaging; Femoral Artery - physiopathology; Hemodynamics; Humans; Ischemia - diagnosis; Ischemia - etiology; Ischemia - mortality; Ischemia - physiopathology; Ischemia - therapy; Kaplan-Meier Estimate; Kidney Diseases - complications; Kidney Diseases - mortality; Kidney Diseases - therapy; Limb Salvage; Male; Medical sciences; Middle Aged; Peripheral Vascular Diseases - complications; Peripheral Vascular Diseases - diagnosis; Peripheral Vascular Diseases - mortality; Peripheral Vascular Diseases - physiopathology; Peripheral Vascular Diseases - therapy; Renal Dialysis; Risk Assessment; Risk Factors; Stents; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the heart; Time Factors; Treatment Outcome; Ultrasonography, Doppler, Duplex; Vascular Patency; Superficial femoral artery; Human; Femoral artery; Hemodialysis; Chronic disease; Peripheral artery disease; Cardiovascular disease; Renal dialysis; Stent; Stents
• ISSN: 0392-9590; 1827-1839

Chronic hemodialysis is associated with a high prevalence of peripheral artery disease (PAD), and patients on chronic hemodialysis with PAD have an increased risk of critical limb ischemia. The present study assessed the hemodynamic and clinical outcomes of stent placement in the superficial femoral artery (SFA) for patients on chronic hemodialysis. Between February 2005 to August 2008, 43 consecutive lower limbs in 42 patients with SFA lesions that were successfully treated by primary stent placement were included in this study. Those were divided into a dialysis group (18 limbs) and a nondialysis group (25 limbs). Outcome measures included primary patency, assisted primary patency, limb salvage, and survival. Patients were significantly younger and presented with significantly more symptomatic limb ischemia in the dialysis group compared to the nondialysis group, despite comparable TransAtlantic Inter-Society Consensus (TASC) classification scores of SFA lesions between the two groups. The primary patency, primary assisted patency, limb salvage, and survival rates of the dialysis group were similar to those of the nondialysis group. Stent placement in the SFA is a feasible, safe, and effective procedure in patients on chronic hemodialysis with PAD, and may be offered as a first-choice therapeutic option for these patients.