Cholesterol Embolisation: A Lethal Complication of Vascular Catheterisation

Gaines, Peter A.; Kennedy, Amanda G.; Moorhead, P J; Cumberland, D.C.; Welsh, Christopher L.; Rutley, Morgan

doi:10.1016/s0140-6736(88)92731-6

Cited by 60 publications

(20 citation statements)

References 12 publications

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“…It may increase the occurrence of atheromatous embolization by causing plaque hemorrhage or preventing fibrin layer formation on already ruptured plaques [5]. On the other hand, symptoms of peripheral ischemia disappeared after heparine treatment of atheroembolization, possibly because of a decrease in superimposed thromboses [2,9]. As heparin was injected into the arterial sheath and flushed just before introduction of the catheter, complete anticoagulation can be assumed.…”

Section: Table IV Number and Percentages Of Different Catheter Typesmentioning

confidence: 99%

“…It has been described after retrograde angiography [1][2][3][4], after left heart catheterization, and percutaneous transluminal coronary angioplasty (PTCA) [5][6][7][8][9][10][11]. Manipulation with catheters or guidewires is the generally accepted mechanical trauma dislodging and spreading atheromatous material from the arterial wall [2].…”

Section: Introductionmentioning

confidence: 99%

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Potential embolization by atherosclerotic debris dislodged from aortic wall during cardiac catheterization:: Histological and clinical findings in 7,621 patients

Eggebrecht

Oldenburg

Dirsch

et al. 2000

Cathet. Cardiovasc. Intervent.

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Section: Table IV Number and Percentages Of Different Catheter Typesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Potential embolization by atherosclerotic debris dislodged from aortic wall during cardiac catheterization:: Histological and clinical findings in 7,621 patients

Eggebrecht

Oldenburg

Dirsch

et al. 2000

Cathet. Cardiovasc. Intervent.

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“…Amongthem, renal involvement is relatively frequent and often fatal (1,6,7). Dislodgment of atheromatousplaques from the major arteries has been knownto occur following mechanical manipulation by intravascular catheterization or anticoagulation therapy (3)(4)(5). In the present case, no such primary cause was noted, except for ticlopidine.…”

Section: Discussionmentioning

confidence: 51%

Cholesterol Embolism in a Patient with Inflammatory Abdominal Aortic Aneurysm.

et al. 1999

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A 66-year-old man whose renal function had progressively deteriorated had an elevated blood pressure and also was found to have an inflammatory abdominal aortic aneurysm (AAA). Blood examination revealed that he had eosinophilia. Livedo reticularis of the toes developed, and a skin biopsy specimen showed embolization of atheromatous plaques in the arterioles of the subcutaneous tissue. Progressive enlargement of inflammatory AAAmay have dislodged the atheromatous plaques, resulting in cholesterol embolism. (Internal Medicine 38: 861-864, 1999)

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“…138 CT scan is preferred over an angiography because it carries a lower risk for recurrent atheroemboli. 139 Other studies that may prove useful for diagnosing atheroembolism include a TTE and TEE. These techniques often complement one another and provide detailed and real time images of the thoracic and abdominal aorta and help identify mobile thrombi and complex atheromatous plaques.…”

Section: Diagnosismentioning

confidence: 99%

Atheromatous embolization

Liew

Bartholomew

2005

Vasc Med

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Atheromatous embolization is a multisystem disease complicating advanced atherosclerosis. It occurs most often as a complication of angiography, an endovascular procedure or cardiovascular surgery. Atheromatous embolization can present in a subtle manner where it is often under-recognized, or with catastrophic results including myocardial infarction, strake or acute renal failure. It may mimic other disease processes and often goes underdiagnosed and undertreated. A high clinical suspicion is the key to diagnosis. Atheromatous embolization results in significant morbidity and mortality; therefore, early recognition followed by aggressive management may help to prevent end-organ damage and improve overall clinical outcomes. Management strategies should include risk factor modification, prevention of further insults by discontinuing or avoiding predisposing factors, supportive treatment and interventional or surgical approaches to remove the atheroembolic source. Atheromatous embolization is expected to increase as our population ages and the epidemics of diabetes mellitus and obesity increase.

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Cholesterol Embolisation: A Lethal Complication of Vascular Catheterisation

Cited by 60 publications

References 12 publications

Potential embolization by atherosclerotic debris dislodged from aortic wall during cardiac catheterization:: Histological and clinical findings in 7,621 patients

Potential embolization by atherosclerotic debris dislodged from aortic wall during cardiac catheterization:: Histological and clinical findings in 7,621 patients

Cholesterol Embolism in a Patient with Inflammatory Abdominal Aortic Aneurysm.

Atheromatous embolization

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