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Performing Anticoagulation: A Puzzling Case of Cholesterol Embolization Syndrome. | LitMetric

AI Article Synopsis

  • Avoiding anticoagulation is essential in treating cholesterol embolization syndrome (CES), as highlighted by a case of a man with a history of pulmonary embolism who was on warfarin.
  • Despite some reports suggesting anticoagulation might be safe for certain CES patients, this case ultimately led to irreversible renal failure requiring hemodialysis.
  • The findings stress the risks and limited effectiveness of anticoagulation in CES, prompting further discussion on the associated treatment concerns.

Article Abstract

The avoidance of any form of anticoagulation is advised in cases of cholesterol embolization syndrome (CES). We herein describe a case of CES in a man with a history of unprovoked pulmonary embolism for which warfarinization was performed. Despite anecdotal reports of successful anticoagulation in CES patients with certain indications, irreversible renal failure, which was sufficiently severe to require chronic hemodialysis, eventually developed in our patient. Our results emphasize the pitfalls of this procedure, which imply its limited feasibility and safety. Several therapeutic concerns associated with this case are also discussed.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5398301PMC
http://dx.doi.org/10.1177/1179547616684649DOI Listing

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