Cholesterol crystal embolism （CCE） is a serious complication after mechanical manipulation of the aorta during angiography or cardiac vascular surgery1.2. Methods Retrospective analysis of the medical ma- terials of...Cholesterol crystal embolism （CCE） is a serious complication after mechanical manipulation of the aorta during angiography or cardiac vascular surgery1.2. Methods Retrospective analysis of the medical ma- terials of 2 cases of CCE in our hospital and review of some literature were conducted. Results Two cases of CCE had blue toes and renal failure, but cholesterol emboli were found in one patients＇ skin biopsy. Strengthen statins were administered and none received corticosteroids. The renal function in both cases was recovered, and the livedo reticularis was disappeared. Conclusions Since there is currently no established treatment other than supportive therapy to CCE, prevention is very important, and we should avoid aortic manipulating procedures in severely atherosclerotic patients. It＇ s crucial early diagnosis for patients to prevent further development of choles- terol embolism. Our study indicated that statins therapy seems to be a more reasonable and effective therapy.展开更多
文摘Cholesterol crystal embolism （CCE） is a serious complication after mechanical manipulation of the aorta during angiography or cardiac vascular surgery1.2. Methods Retrospective analysis of the medical ma- terials of 2 cases of CCE in our hospital and review of some literature were conducted. Results Two cases of CCE had blue toes and renal failure, but cholesterol emboli were found in one patients＇ skin biopsy. Strengthen statins were administered and none received corticosteroids. The renal function in both cases was recovered, and the livedo reticularis was disappeared. Conclusions Since there is currently no established treatment other than supportive therapy to CCE, prevention is very important, and we should avoid aortic manipulating procedures in severely atherosclerotic patients. It＇ s crucial early diagnosis for patients to prevent further development of choles- terol embolism. Our study indicated that statins therapy seems to be a more reasonable and effective therapy.
