Multiple cholesterol emboli syndrome--six cases identified through the spontaneous reporting system
M Hauben1, J Norwich, E Shapiro
1Medical Department, Sterling Winthrop Inc., New York, New York, USA.
Angiology
|September 1, 1995
Summary
Multiple cholesterol emboli syndrome (MCES) can present acutely after procedures like cardiac catheterization. Angiographers must recognize MCES in patients with multi-organ dysfunction post-catheterization.
Area of Science:
- Cardiology
- Nephrology
- Vascular Surgery
Background:
- Multiple cholesterol emboli syndrome (MCES) is a rare but serious complication.
- Risk factors include invasive vascular procedures and anticoagulation.
Observation:
- A review of adverse event reports identified six suspected MCES cases.
- Five cases presented acutely during or immediately after intra-arterial catheterization.
Findings:
- Common antecedent risk factors included cardiac catheterization and various arteriographies.
- Frequent clinical manifestations were acute renal failure, hypertension, pain, and livedo reticularis.
Implications:
- Angiographers should maintain a high index of suspicion for MCES.
- Early recognition and consideration of MCES are crucial for patients with multi-organ dysfunction post-catheterization.
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