TREATMENT OF UNSTABLE ANGINA WITH CHOLESTEROL EMBOLIZATION AS A COMPLICATION OF LEFT HEART CATHETERIZATION

HIROTAKA ODA; TSUTOMU MIIDA; HIRONORI SATO; NORIO HIGUMA

doi:10.1253/jcj.54.487

HIROTAKA ODA, TSUTOMU MIIDA, HIRONORI SATO, NORIO HIGUMA

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Keywords: cholesterol embolozation, Left heart catheterization, Unstable angina, Percutaneous transluminal coronary angioplasty, Right brachial artery

JOURNAL FREE ACCESS

1990 Volume 54 Issue 5 Pages 487-492

DOI https://doi.org/10.1253/jcj.54.487

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Abstract

We describe 3 patients with cholesterol embolization after left heart catheterization via the femoral route. The left catheterizations were performed via the femoral route in all reported cases in which cholesterol embolization occurred as a complication of left catheterization. Postmortem examinations revel that PTCA, using the right brachial approach, is the safest method for treatment of intractable angina in patients with evidence of cholesterol embolization.

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