Key result
Repeat coronary angiography was followed by severe cutaneous cholesterol emboli syndrome, highlighting the need for better risk factor evaluation to prevent this often unrecognized complication.
Case Report (n=1)
Highlights the importance of evaluating risk factors in patients undergoing invasive procedures to prevent severe cutaneous cholesterol emboli syndrome.
May warrant caution with repeat angiography in at-risk patients; leaves open whether pre-procedural risk stratification reduces incidence.
Cholesterol embolization 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 cholesterol emboli syndrome following repeat coronary angiography showing by 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.
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Hendrickx et al. (1999) conducted a case report in Severe cutaneous cholesterol emboli syndrome (n=1). Repeat coronary angiography was evaluated on Severe cutaneous cholesterol emboli syndrome. Repeat coronary angiography was followed by severe cutaneous cholesterol emboli syndrome, highlighting the need for better risk factor evaluation to prevent this often unrecognized complication.
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