Ong H T, Elmsly W G, Friedlander D H
Waikato Hospital, Hamilton, New Zealand.
Med J Aust. 1991 Mar 18;154(6):412-4. doi: 10.5694/j.1326-5377.1991.tb121135.x.
Cholesterol atheroembolisation is increasingly encountered as a complication of cardiac catheterisation. We report three cases seen recently in our unit. Autopsy and histological evidence confirmed cholesterol atheroembolism in one case, while the other two patients presented with classical clinical features of this condition. All three patients were elderly with extensive atheromatous disease. No excessive difficulty was encountered at catheterisation. Embolisation involved the gastrointestinal tract, the skin and extremities, and the kidneys. Despite anticoagulation, dialysis and surgical intervention all our patients died. With investigative and therapeutic catheterisation being increasingly performed in the setting of severe atherosclerosis, the need for continued scrutiny for catheter-induced complications is emphasised.
胆固醇动脉粥样硬化栓塞作为心脏导管插入术的一种并发症越来越常见。我们报告了最近在我们科室见到的三例病例。尸检和组织学证据证实其中一例存在胆固醇动脉粥样硬化栓塞，而另外两名患者表现出该病的典型临床特征。所有三名患者均为老年人，患有广泛的动脉粥样硬化疾病。导管插入过程中未遇到过多困难。栓塞累及胃肠道、皮肤和四肢以及肾脏。尽管进行了抗凝、透析和手术干预，我们所有的患者还是死亡了。鉴于在严重动脉粥样硬化情况下越来越多地进行诊断性和治疗性导管插入术，强调了持续监测导管引起的并发症的必要性。
