Turk Kardiyol Dern Ars. 2016; 44(3): 251-255 | DOI: 10.5543/tkda.2015.94587
Cholesterol embolization syndrome: report of two cases
Nazlı Dizman1, Kübra Aydın Bahat1, Şeyma Özkanlı2, Abdullah Özkök11Department of Internal Medicine and Nephrology, İstanbul Medeniyet University,Göztepe Training and Research Hospital, Istanbul, Turkey
2Department of Pathology, İstanbul Medeniyet University, Göztepe Training and Research Hospital, Istanbul, Turkey
Cholesterol embolization syndrome (CES) is a multi-systemic disease with immunological features which is a rare but an important cause of acute kidney injury (AKI) after invasive angiography. It frequently occurs in elderly male population with extensive atherosclerosis. CES should be considered in the differential diagnosis of AKI after angiography because its prognosis and treatment is completely different from contrast-induced nephropathy. Herein, we describe two cases of CES developed after invasive angiography. In the first case, renal biopsy was performed and CES was proved with characteristic renal lesions. The second patient had blue toe syndrome and persistent renal dysfunction.
Keywords: Acute kidney injury, atheroembolic disease; angiography; cholesterol embolization syndrome; blue-thumb syndrome; Renal biopsy.
Corresponding Author: Abdullah Özkök, Türkiye
Manuscript Language: English