Performing Anticoagulation: A Puzzling Case of Cholesterol Embolization Syndrome
Autor: | Yusuke Igarashi, Tetsu Akimoto, Takahisa Kobayashi, Yoshitaka Iwazu, Takuya Miki, Naoko Otani-Takei, Toshimi Imai, Taro Sugase, Takahiro Masuda, Shin-ichi Takeda, Shigeaki Muto, Daisuke Nagata |
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Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: | |
Zdroj: | Clinical Medicine Insights: Case Reports, Vol 10 (2017) |
Druh dokumentu: | article |
ISSN: | 1179-5476 11795476 |
DOI: | 10.1177/1179547616684649 |
Popis: | The avoidance of any form of anticoagulation is advised in cases of cholesterol embolization syndrome (CES). We herein describe a case of CES in a man with a history of unprovoked pulmonary embolism for which warfarinization was performed. Despite anecdotal reports of successful anticoagulation in CES patients with certain indications, irreversible renal failure, which was sufficiently severe to require chronic hemodialysis, eventually developed in our patient. Our results emphasize the pitfalls of this procedure, which imply its limited feasibility and safety. Several therapeutic concerns associated with this case are also discussed. |
Databáze: | Directory of Open Access Journals |
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