Key result
Cholesterol emboli syndrome should be considered in elderly patients presenting with acute renal failure or cutaneous lesions following an invasive vascular procedure, with diagnosis made by biopsy.
Cholesterol emboli syndrome is a severe complication of invasive vascular procedures characterized by acute renal failure, cutaneous lesions, and specific laboratory findings, with a generally poor prognosis.
Consider cholesterol emboli syndrome in elderly post-procedure renal failure or skin lesions; leaves open prospective validation of biopsy diagnosis.
Cholesterol emboli syndrome should always be considered in an elderly patient with acute renal failure or cutaneous lesions following an invasive vascular procedure or surgery. Laboratory findings that suggest atheroemboli include eosinophilia, an elevated erythrocyte sedimentation rate, leukocytosis, and anemia. Diagnosis is made by biopsy of the affected organ, and treatment is supportive. Patients usually die of multisystem failure.
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Neil Freund (1990) conducted a review in Cholesterol emboli syndrome. Invasive vascular procedure or surgery was evaluated. Cholesterol emboli syndrome should be considered in elderly patients presenting with acute renal failure or cutaneous lesions following an invasive vascular procedure, with diagnosis made by biopsy.
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