Cholesterol Emboli after Coronary Angioplasty

Cholesterol Emboli after Coronary Angioplasty

A 72-year-old man presented with unstable angina. An urgent cardiac catheterization showed clinically significant disease in the right coronary artery, which was stented. Twelve hours after the procedure, livedo reticularis developed on his legs and there was a bluish discoloration of his toes (Pane...

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Bibliographic Details
Published in:The New England journal of medicine Vol. 354; no. 12; p. 1294
Main Authors: Rana, Omar, McCrea, William
Format: Journal Article
Language:English
Published: Boston, MA Massachusetts Medical Society 23-03-2006
Subjects:
Biological and medical sciences
Disorders of blood lipids. Hyperlipoproteinemia
General aspects
Medical sciences
Metabolic diseases
Angioplasty
Coronary artery
Instrumentation therapy
Cardiovascular disease
Metabolic diseases
Lipids
Hyperlipoproteinemia
Instrumental dilatation
Lipoprotein
Coronary heart disease
Cholesterol
Medicine
Hypercholesterolemia
Dyslipemia
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Summary:A 72-year-old man presented with unstable angina. An urgent cardiac catheterization showed clinically significant disease in the right coronary artery, which was stented. Twelve hours after the procedure, livedo reticularis developed on his legs and there was a bluish discoloration of his toes (Panels A and B). The evaluation was notable for an increase in his serum creatinine level from 1.5 mg per deciliter (135 μmol per liter) to 3.1 mg per deciliter (276 μmol per liter), eosinophilia of 7.4 percent, and a normal result on renal ultrasonography. A diagnosis of cholesterol emboli was made. The patient recovered uneventfully.
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMicm050895