Peripheral vascular disease intervention in patients with end-stage renal disease: Few complications in those treated with peritoneal dialysis

Background. We assessed the results of peripheral vascular surgery in patie nts with end-stage renal disease (ESRD) who were being treated with periton eal dialysis. Methods. Sixty-seven ESRD patients on peritoneal dialysis who had periphera l vascular surgery were assessed retrospectively for preoperative risk fact ors, primary and secondary patency rates, and mortality. The study group ha d 48 proximal femoral-popliteal bypasses, 12 distal femoral-popliteal by as ses, and 7 distal femoral-tibial and/or peroneal revascularizations. Results. Among 67 peritoneal dialysis patients, 15 deaths (22%) occurred ov er 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 per itoneal dialysis.