Total Pageviews

Sunday 13 May 2012

Cholesterol embolism syndrome

- should be suspected in any patients who develop worsening renal function, hypertension, distal ischemia or acute multisystem dysfunction after an invasive arterial procedure (eg:CABG), anticoagulation or thrombolysis
- triad of livedo reticularis, eosinophilia and acute renal failure
- may presents with unexplained fever, weight loss, myalgia and anorexia initially
- risk of patient developing cholesterol embolism can be reduced by using brachial or axillary approach  in patient known to have severely ulcerated aortic plaque, using soft flexible catheter and avoiding high pressure jets of contrast materials
- trash foot
- low C3 level, raised ESR/CRP, pyuria/eosinophiluria
- tissue biopsy: demonstration of cholesterol crystal in occluded arterioles is the only definitive test for cholesterol embolism
- management is supportive

  Figure 1

1 comment:

Oscar said...

I would like to thank Ultimate Life Clinic for reversing my father's Amyotrophic Lateral Sclerosis (ALS). My father’s ALS condition was fast deteriorating before he started on the ALS Herbal medicine treatment from Ultimate Life Clinic. He was on the treatment for just 6 months and we never thought my father will recover so soon. He has gained some weight in the past months and he is able to walk with no support. You can reach them through there website www.ultimatelifeclinic.com