Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Use of Corticosteroids in the Treatment of Cholesterol Crystal Embolism after Cardiac Catheterization: A Report of Four Japanese Cases
Jun MasudaTakashi TanigawaShiro NakamoriToshiki SawaiTomohiro MurataEiji IshikawaNorikazu YamadaMashio NakamuraMasaaki Ito
Author information
JOURNALS OPEN ACCESS

2013 Volume 52 Issue 9 Pages 993-998

Details
Abstract

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.

Information related to the author
© 2013 by The Japanese Society of Internal Medicine
Previous article Next article
feedback
Top