Is carotid revascularization worthwhile in patients waiting for kidney transplantation?

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11120%2F18%3A43915993" target="_blank" >RIV/00216208:11120/18:43915993 - isvavai.cz</a>

Result on the web

<a href="https://doi.org/10.1016/j.trre.2017.11.001" target="_blank" >https://doi.org/10.1016/j.trre.2017.11.001</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.trre.2017.11.001" target="_blank" >10.1016/j.trre.2017.11.001</a>

Result language

angličtina

Original language name

Is carotid revascularization worthwhile in patients waiting for kidney transplantation?

Original language description

Renal failure and haemodialysis are associated with an increased risk of cardiovascular disease. Patients undergoing renal transplantation undergo rigorous pre-operative vascular assessment, including optimisation of risk factors for stroke. The indication for carotid intervention and the threshold for carotid endarterectomy in asymptomatic patients with incidental carotid disease has not been clarified in the context chronic kidney disease (CKD). This review aims to analyse outcomes following carotid endarterectomy in patients with CKD, in order to ascertain whether general guidelines for carotid artery revascularisation apply to this specific cohort. The current literature suggests that outcomes following internal carotid artery (ICA) revascularisation are worse in symptomatic and asymptomatic CKD patients compared to the non-CKD population. Consequently, asymptomatic patients with renal failure should be managed conservatively prior to renal transplantation, whilst those with symptomatic disease should be treated according to general guidelines but be informed of higher associated risk of stroke and death. Multidisciplinary optimisation remains essential in all patients waiting for potential renal transplantation.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30213 - Transplantation

Project

—

Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2018

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Transplantation Reviews

ISSN

0955-470X

e-ISSN

—

Volume of the periodical

32

Issue of the periodical within the volume

2

Country of publishing house

US - UNITED STATES

Number of pages

6

Pages from-to

79-84

UT code for WoS article

000431934800001

EID of the result in the Scopus database

2-s2.0-85035748719