Document Detail

Trash feet after coronary angiography.
MedLine Citation:
PMID:  12695482     Owner:  NLM     Status:  MEDLINE    
Cholesterol crystal embolisation is a frequently underdiagnosed condition. While coronary catheterisation is safe and commonly performed, the reported patient developed very painful trash feet after undergoing this routine procedure. Ulceration and gangrene occurred after catheter manipulation during cardiac angiography, which caused occlusion of the small arteries in his feet. The triad of pain, livedo reticularis, and intact peripheral pulses is pathognomonic for cholesterol embolisation. The prognosis depends on the extent of the systemic disease and a high rate of mortality (75-80%) is observed. Prognosis is poor and the treatment is only supportive. It is suggested that while cardiac catheterisation is largely safe and a very commonly performed procedure, it can still lead to complications with serious side effects and can even prove fatal.
A M Khan; S Jacobs
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Heart (British Cardiac Society)     Volume:  89     ISSN:  1468-201X     ISO Abbreviation:  Heart     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-04-15     Completed Date:  2003-05-09     Revised Date:  2013-06-09    
Medline Journal Info:
Nlm Unique ID:  9602087     Medline TA:  Heart     Country:  England    
Other Details:
Languages:  eng     Pagination:  e17     Citation Subset:  AIM; IM    
Department of Vascular Surgery, King George Hospital, Essex, UK.
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MeSH Terms
Cardiac Catheterization
Coronary Angiography / adverse effects*
Embolism, Cholesterol / etiology*
Foot / blood supply*,  pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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