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Cholesterol Emboli Syndrome Following Angioplasty: A Case Report and Literature Review
Reeju Maharjan1,2, Ozo Akah3, Ankur Gangahar4
1Neurology, V. N. Karazin Kharkiv National University, Kharkiv, UKR.
Insights
Cholesterol emboli syndrome (CES) can occur after angioplasty, causing painful toe discoloration. Early diagnosis and treatment are crucial to prevent severe complications.
Area of Science:
- Cardiovascular Medicine
- Vascular Surgery
- Dermatology
Background:
- Cholesterol emboli syndrome (CES) is a rare complication following invasive vascular procedures.
- Atherosclerotic plaque rupture can lead to cholesterol crystal embolization.
- Patients with risk factors like hypertension, diabetes, and hyperlipidemia are susceptible.
Abstract:
Cholesterol emboli syndrome (CES) occurs when cholesterol crystals from atherosclerotic plaques embolize to distal arteries, often after invasive procedures like angioplasty. We report a 67-year-old man with hypertension, diabetes, and hyperlipidemia, who developed painful discoloration of his left toes following angioplasty for the management of myocardial infarction. Diagnosis of CES was confirmed by clinical findings, imaging, and a skin biopsy showing leukocytoclastic vasculitis. The patient was treated with anticoagulation, analgesics, and a vascular surgery consultation. This case underscores the importance of early recognition and management of CES to prevent further complications.
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