Key result
In a review of 36 Japanese cases of cholesterol crystal embolization, 94.4% developed renal failure, up to 50% required dialysis, and overall mortality was 33.3%.
Case Report (n=36)
Cholesterol crystal embolization is a severe complication of vascular procedures characterized by renal failure, cutaneous manifestations, and eosinophilia, carrying a high mortality rate.
Cholesterol crystal embolization (CCE) is a complication of atherosclerosis. A 67-year-old Japanese man underwent coronary artery bypass grafting. After the surgery, he underwent coronary angiography via the right femoral artery. Twelve days later, he suddenly developed acalculous cholecystitis and was treated with antibiotics. Gradual deterioration in renal function, purplish discoloration of the distal portion of his toes, and eosinophilia were noted. We performed a skin biopsy and made a diagnosis of CCE. Cilostazol and intravenous heparin improved the symptoms and decreased the creatinine level. We retrospectively studied the clinical features of 36 cases registered with a diagnosis of CCE in the Japanese literature.
No takes yet. Share an insight, caveat, or question.
Funabiki et al. (2003) conducted a case report in Cholesterol Crystal Embolization (CCE) (n=36). Vascular procedures or anticoagulation was evaluated on Mortality and need for dialysis. In a review of 36 Japanese cases of cholesterol crystal embolization, 94.4% developed renal failure, up to 50% required dialysis, and overall mortality was 33.3%.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: