The prevalence of carotid artery stenosis in patients undergoing aortic reconstruction.

Background: Coronary artery disease occurs frequently in patients undergoing aortic reconstruction, and it has been presumed that internal carotid artery occlusive disease is also common. This has led to the practice of screening for and repairing significant carotid lesions in asymptomatic patients prior to aortic reconstruction. The purpose of this study was to determine the true prevalence of internal carotid artery disease in these patients.

Screening and supportive techniques for home dialysis in the treatment of renal failure.

Patients with end-stage renal disease are being kept alive by dialysis treatment which may be provided either in an institution or in the patient's home. However, medical advancements have outstripped the ability of the treatment team to insure the quality of life for these long-term patients. Although the predominant pattern of care continues to be the hospital- or institution-based unit, an attempt is being made by both patients and physicians to make home dialysis a more viable alternative.