Use of Corticosteroids in the Treatment of Cholesterol Crystal Embolism after Cardiac Catheterization: A Report of Four Japanese Cases

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概要

• 論文の詳細を見る

• 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.

著者

• Ishikawa Eiji

  Department Of Biochemistry Miyazaki Medical College

• Masuda Jun

  Department Of Cardiology Akashi National Hospital

• Nakamura Mashio

  Department Of Cardiology And Nephrology Mie University Graduate School Of Medicine

• Murata Tomohiro

  Department Of Cardiology And Nephrology Mie University Graduate School Of Medicine

• Ito Masaaki

  Department Of Agricultural Chemistry Yamagata University

• Yamada Norikazu

  Department Of Cardiology And Nephrology Mie University Graduate School Of Medicine

• Tanigawa Takashi

  Department Of Applied Physics Hokkaido University

• Murata Tomohiro

  Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, Japan

• Nakamura Mashio

  Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, Japan

• Sawai Toshiki

  Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, Japan

• Nakamori Shiro

  Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, Japan

• Masuda Jun

  Department of Cardiology and Nephrology, Mie University Graduate School of Medicine, Japan

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