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Peripheral Vascular Complication from Coronary Angiography: a Case Report of Cholesterol Embolization

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International Journal of Angiology

Abstract

A 65-year-old man developed acute limb ischemia, severe abdominal wall and lower limb livedo reticularis following a coronary angiogram. The differential diagnoses of acute limb ischemia and multiple cholesterol emboli syndrome (MCES) are discussed.

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References

  1. Bashore TM, Gehrig T (2003) Cholesterol emboli after invasive cardiac procedures. J Am Coll Cardiol 42(2):217–218.

    Article  PubMed  Google Scholar 

  2. Belenfant X, d’Auzac C, Bariety J, Jacquot C (1997) Cholesterol crystal embolism during treatment with low-molecular-weight heparin. Presse Med 26:1236–1237

    PubMed  CAS  Google Scholar 

  3. Belenfant X, Meyrier A, Jacquot C (1999) Supportive treatment improves survival in multivisceral cholesterol crystal embolism. Am J Kidney Dis 33:840–850

    PubMed  CAS  Google Scholar 

  4. Cambria RP, Abbott WM (1984) Acute arterial thrombosis of the lower extremity: its natural history contrasted with arterial embolism. Arch Surg 119:784

    PubMed  CAS  Google Scholar 

  5. Carr ME Jr, Sanders K, Todd WM (1994) Pain relief and clinical improvement in a patient with documented cholesterol emboli – a case report. Angiology 45:65–69

    Article  PubMed  Google Scholar 

  6. Dupont PJ, Lightstone L, Clutterbuck EJ, Gaskin G, Pusey CD, Cook T, Warrens AN (2000) Lesson of the week: cholesterol emboli syndrome. BMJ 321(7268):1065–1067

    Article  PubMed  CAS  Google Scholar 

  7. Elinav E, Chajek-Shaul T, Stern M (2002) Improvement in cholesterol emboli syndrome after iloprost therapy. BMJ 324:268–269

    Article  PubMed  Google Scholar 

  8. Enzler T, Glatzel M, Maggiorini M (2000) Eosinophilia and polyneuropathy after percutaneous transluminal coronary angioplasty. Dtsch Med Wochenschr 125(30):903–905

    Article  PubMed  CAS  Google Scholar 

  9. Fukumoto Y, Tsutsui H, Tsuchibashi M, Masumoto A, Takeshita A (2003) Cholesterol embolism study (CHEST) Investigators. The incidence and risk factors of cholesterol embolization syndrome, a complication of cardiac catheterization: a prospective study. J Am Coll Cardiol 42:211–216

    Article  PubMed  Google Scholar 

  10. Greenfield et al Surgery: scientific principles and practice. Willilams and Wilkins, Lippicott, Chap 68

  11. Gupta BK, Spinowitz BS, Charytan C, Wahl SJ (1993) Cholesterol crystal embolization-associated renal failure after therapy with recombinant tissue plasminogen activator. Am J Kidney Dis 21:659–662

    PubMed  CAS  Google Scholar 

  12. Hauben M, Norwich J, Shapiro E, Reich L, Petchel KS, Goldsmith D (1995) Multiple cholesterol emboli syndrome—six cases identified through the spontaneous reporting system. Angiology 46(9):779–784

    PubMed  CAS  Google Scholar 

  13. Izumi C, Kondo H, Tamura T, Inoko M, Kitaguchi S, Himura Y, Iga K,Gen M, Konishi T (1998) Clinical evaluation of cholesterol embolization syndrome after cardiac catheterization. J Card Suppl 31(4):201–206

    CAS  Google Scholar 

  14. Johnson LW, Esente P, Giambartolomei A, Grant WD, Loin M, Reger MJ, Shaw C, Walford GD (1994) Peripheral vascular complications of coronary angioplasty by the femoral and brachial techniques. Cathet Cardiovasc Diagn 31(3):165–172

    PubMed  CAS  Google Scholar 

  15. Kasinath BS, Corwin HL, Bidani AK, Korbet SM, Schwartz MM, Lewis EJ (1987) Eosinophilia in the diagnosis of atheroembolic renal disease. Am J Nephrol 7:173–177

    Article  PubMed  CAS  Google Scholar 

  16. Mayo RR, Swartz RD (1996) Redefining the incidence of clinically detectable atheroembolism. Am J Med 100:524–529

    Article  PubMed  CAS  Google Scholar 

  17. Moolenaar W, Lamers CB (1996) Cholesterol crystal embolization in the Netherlands. Arch Intern Med 156:653–657

    Article  PubMed  CAS  Google Scholar 

  18. Orr WP, Banning AP (1999) Aortic atherosclerotic debris detected by trans-oesophageal echocardiography—a risk factor for cholesterol embolization. QJM 92(6):341–346

    Article  PubMed  CAS  Google Scholar 

  19. Scolari F, Tardanico R, Pola A, Mazzucchelli C, Maffeis R, Bonardelli S, Maiorca P, Movilli E, Sandrini S (2003) Cholesterol crystal embolic disease in renal allografts. J Nephrol 16(1):139–143

    PubMed  Google Scholar 

  20. Thadhani RI, Camargo CA Jr, Xavier RJ, Fang LS, Bazari H (1995) Atheroembolic renal failure after invasive procedures. Natural history based on 52 histologically proven cases. Medicine 74(6):350–358

    Article  PubMed  CAS  Google Scholar 

  21. Woolfson RG, Lachmann H (1998) Improvement in renal cholesterol emboli syndrome after simvastatin. Lancet 351:1331–1332

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Medicine, Long Island Jewish Medical Center, New Hyde Park, NY, USA

    Neetu Radhakrishnan M.D.

  2. Division of Cardiology, Long Island Jewish Medical Center, New Hyde Park, NY, USA

    Chong. H. Park M.D., Barry M. Kaplan M.D., F.A.C.C. & Rajiv Jauhar M.D., F.A.C.C.

  3. Interventional Cardiology, Long Island Jewish Medical Center, 270-05, 76th Avenue, New Hyde Park, NY, 11040, USA

    Rajiv Jauhar M.D., F.A.C.C.

Authors
  1. Neetu Radhakrishnan M.D.
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  2. Chong. H. Park M.D.
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  3. Barry M. Kaplan M.D., F.A.C.C.
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  4. Rajiv Jauhar M.D., F.A.C.C.
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Corresponding author

Correspondence to Rajiv Jauhar M.D., F.A.C.C..

Additional information

This work was performed at Long Island Jewish Medical Center, 270-05, 76th Avenue, New Hyde Park, NY 11040.

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Radhakrishnan, N., Park, C.H., Kaplan, B.M. et al. Peripheral Vascular Complication from Coronary Angiography: a Case Report of Cholesterol Embolization. Int J Angiol 15, 37–42 (2006). https://doi.org/10.1007/s00547-006-1098-6

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  • DOI: https://doi.org/10.1007/s00547-006-1098-6

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