Abstract: Background: Cardiovascular disease (CVD) is a major cause of morbidity and mortality in renal failure. The clinical pathology of CVD in renal failure is arteriosclerosis. One of the features of arteriosclerosis in renal failure is vascular calcification. High level of phosphate and calcium in chronic kidney disease (CKD) are the risk factor of vascular calcification. Furthermore, vascular calcification is an aging process which related to calcium deposit and inflammation. Method used to assess vascular calcification is lateral abdominal radiographs which is expressed as score Abdominal Aortic Calcification (AAC).