Document Detail

Use of corticosteroids in the treatment of cholesterol crystal embolism after cardiac catheterization: a report of four Japanese cases.
MedLine Citation:
PMID:  23648720     Owner:  NLM     Status:  In-Data-Review    
Cholesterol crystal embolism (CCE) is a serious complication associated with invasive vascular procedures. The prognosis of the renal involvement type of CCE is very poor, and there is currently no established treatment, other than supportive therapy. We herein report four cases of CCE with severe atherosclerosis wherein the renal function progressively deteriorated after cardiac catheterization. In three of the four patients, low-dose corticosteroids (0.3 mg/kg/day) improved the renal function, whereas the fourth patient died from CCE of the digestive system. This report reviews the literature on CCE and discusses possible therapeutic options.
Jun Masuda; Takashi Tanigawa; Shiro Nakamori; Toshiki Sawai; Tomohiro Murata; Eiji Ishikawa; Norikazu Yamada; Mashio Nakamura; Masaaki Ito
Publication Detail:
Type:  Journal Article     Date:  2012-03-01
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  52     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2013  
Date Detail:
Created Date:  2013-05-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  993-8     Citation Subset:  IM    
Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, Japan.
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