- 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
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