Abstract
Cholesterol emboli syndrome is due to dislodgment of cholesterol crystals from the atherosclerotic plaques lining the walls of major arteries resulting in an occlusion of small arteries. We describe a case of severe cutaneous and renal cholesterol emboli syndrome following coronary angiography showing our observation that this syndrome is often unrecognized or misdiagnosed and that a better evaluation of risks factors in patients undergoing invasive procedures could prevent this severe complication.
This is a preview of subscription content, log in via an institution to check access.
References
Piriou V, Claudel JP, Bastien O, Ross S, Lehot JJ (1996) Severe systemic cholesterol embolization after open heart surgery. Br J Anaesth 77:277–280
Scolari F, Bracchi M, Valzorio B, Movilli E, Constantino E, Savoldi S et al (1996) Cholesterol atheromatous embolism: an increasingly recognized cause of acute renal failure. Nephrol Dial Transplant 11:1607–1612
Fine MJ, Kapoor W, Falanga V (1987) Cholesterol crystal embolization: a review of 221 cases in English literature-angiology. J Vasc Dis 7:769–784
Johnson LW, Esente P, Gianbartolomei A, Grant WD, Loin M, Reger MJ et al (1994) Peripheral vascular complications of coronary angioplasty by the femoral and brachial techniques. Cathet Cardiovasc Diagn 31:165–172
Rhodes JM (1996) Cholesterol crystal embolism: an important “new” diagnosis for the general physician. Lancet 347:1641
Dupont P, Lightstone L, Clutterback E, Gaskin G, Pusey C, Cook T et al (2000) Cholesterol emboli syndrome. BMJ 321:1065–1067
O’Keefe S, Woods B, Breslin D, Tsapatsaris N (1992) Blue toe syndrome. Causes and management. Arch Intern Med 152:2197–2202
Cosio FG, Zager RA, Sharma HM (1985) Atheroembolic renal disease causes hypocomplementemia. Lancet 2(8447):118–121
Arko F, Buckley C, Baisden C, Manning L (1997) Mobile atheroma of the aortic arch is an underestimated source of embolization. Am J Surg 174:737–740
Fernandez-Samos R, Suarez D, Ortega JM, Zorita A, Vasquez J, Moran CF et al (1995) Multiple cholesterol embolization syndrome: a lethal complication of vascular procedures. Report of two histologically proven cases. J Cardiovasc Surg 36:87–91
Belenfant X, Meyrier A, Jaquot C (1999) Supportive treatment improves survival in multivisceral cholesterol crystal embolism. Am J Kidney Dis 33:840–850
Elinav E, Chajek-Shaul T, Stern M (2002) Improvement in cholesterol emboli syndrome after iloprost therapy. BMJ 324:268–269
Ghilardi G, Massaro F, Gobatti D, Kunkl E, Scorza R (2002) Temporary spinal cord stimulation for peripheral cholesterol embolism. J Cardiovasc Surg (Torino) 43:255–258
Woolfson RG, Lachmann H (1998) Improvement in renal cholesterol emboli syndrome after simvastatin. Lancet 352:1331–1332
Author information
Authors and Affiliations
Corresponding author
Additional information
Undertaking
We undertake that the work described here has not been published before; that it is not under consideration for publication anywhere else; that its publication has been approved by all of us.
Rights and permissions
About this article
Cite this article
Sekhar, C.C., Jindal, P., Karna, V.G. et al. Cholestrol Emboli Syndrome: Acute Renal Insufficiency After a Procedure or a Thrombolytic Therapy or Anticoagulant Therapy. Indian J Surg 75 (Suppl 1), 432–435 (2013). https://doi.org/10.1007/s12262-012-0669-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12262-012-0669-3