Renal cholesterol embolism in patients with carotid stenosis: a severe and underdiagnosed complication following cerebrovascular procedures

Journal of the Neurological Sciences
Noriko HagiwaraYasushi Okada

Abstract

Here, we report two cases with rapidly progressive renal failure, caused by cholesterol crystal embolism (CCE), after an angiography for carotid artery stenosis. The diagnosis was determined by histological examination and from clinical symptoms, including livedo reticularis and eosinophilia. Neurologists and neuroradiologists tend to underdiagnose CCE, which results from the same atherosclerotic risk factors as cerebrovascular disease. We need to understand more about CCE and identify its unique clinical symptoms to enable an early diagnosis and treatment.

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Citations

Dec 8, 2009·Circulation Journal : Official Journal of the Japanese Circulation Society·Tomoko Machino-OhtsukaKazutaka Aonuma
Nov 27, 2007·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Satoko NakamuraYuhei Kawano
Jun 8, 2006·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Melike ErdimNurdan Biskin
Apr 12, 2008·Angiology·John R Filip, Richard S Dillon
Oct 9, 2008·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Kosmas I ParaskevasAthanasios D Giannoukas

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