Cholesterol crystal embolism (CCE) is a serious complication associated with invasive vascular procedures. The prognosis of the renal involvement type of CCE is very poor, and there is currently no established treatment, other than supportive therapy. We herein report four cases of CCE with severe atherosclerosis wherein the renal function progressively deteriorated after cardiac catheterization. In three of the four patients, low-dose corticosteroids (0.3 mg/kg/day) improved the renal function, whereas the fourth patient died from CCE of the digestive system. This report reviews the literature on CCE and discusses possible therapeutic options.

Download full-text PDF

Source
http://dx.doi.org/10.2169/internalmedicine.52.9255DOI Listing

Publication Analysis

Top Keywords

cholesterol crystal
8
crystal embolism
8
cardiac catheterization
8
renal function
8
cce
5
corticosteroids treatment
4
treatment cholesterol
4
embolism cardiac
4
catheterization report
4
report japanese
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!