Cholesterol embolization treated with corticosteroids: Two case reports

Jun Ichiro Koga, Masahiko Ohno, Kazuhiko Okamoto, Kazuta Nakasuga, Hiroyuki Ito, Koji Nagafuji, Nobuyuki Shimono, Hideyuki Koga, Akihiro Hayashida, Takeshi Arita, Toru Maruyama, Yoshikazu Kaji, Mine Harada

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11 Citations (Scopus)

Abstract

Cholesterol embolization (CE) is a potentially serious complication associated with invasive arterial maneuvers, in which standard therapy has not been established. We experienced two cases of CE in patients with severe atherosclerosis whose renal function deteriorated within a few months after invasive arterial maneuvers. CE was confirmed either by renal biopsy (case 1) or skin biopsy (case 2). Oral administration of prednisolone at a daily dose of 30 mg (0.4 mg/kg) was effective to improve their renal function. Our observation suggests that corticosteroid therapy may be beneficial in some patients with CE.

Original languageEnglish
Pages (from-to)497-501
Number of pages5
JournalAngiology
Volume56
Issue number4
DOIs
Publication statusPublished - Jul 1 2005

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

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    Koga, J. I., Ohno, M., Okamoto, K., Nakasuga, K., Ito, H., Nagafuji, K., Shimono, N., Koga, H., Hayashida, A., Arita, T., Maruyama, T., Kaji, Y., & Harada, M. (2005). Cholesterol embolization treated with corticosteroids: Two case reports. Angiology, 56(4), 497-501. https://doi.org/10.1177/000331970505600420