Cholesterol Embolism after Cardiac Catheterization: A Case Report and Literature Review

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Published: Jun 11, 2023
Keywords:
CAD cholesterol emboli AKI AKD renal failure CAG

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Salinthip Tiaochoktrakul
Renal Division, Department of Medicine, Siriraj Hospital, Mahidol University
Suchai Sritippayawan
Renal Division, Department of Medicine, Siriraj Hospital, Mahidol University
Panitta Sitthinamsuwan
Department of Pathology, Siriraj Hospital, Mahidol University

Abstract

Aging is the major risk factor for atherosclerosis and cardiovascular disease. As aging population increases, more patients develop coronary artery disease requiring diagnostic and therapeutic interventions such as coronary artery angiogram and angioplasty. One of the complications of such procedure is the rupture of cholesterol plaque. The cholesterol emboli can travel to more distal part of the arteries causing obstruction leading to organ ischemia as well as inflammation. If the emboli occludes renal arterial system, acute kidney injury or acute kidney disease may be the results. Patients typically present with progressive decline in renal function in association with ischemia of the skin and/or other organs. Making a diagnosis of cholesterol embolism requires high clinical suspicion in susceptible patients who undergo major cardiovascular procedure.

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How to Cite
Tiaochoktrakul, S. ., Sritippayawan, S. ., & Sitthinamsuwan, P. . (2023). Cholesterol Embolism after Cardiac Catheterization: A Case Report and Literature Review. Journal of the Nephrology Society of Thailand, 29(2), 135–143. Retrieved from https://he01.tci-thaijo.org/index.php/JNST/article/view/264129
Issue
Vol. 29 No. 2 (2023): April - June
Section
Clinical Pathology
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