Kennedy A, Cumberland D, Gaines P
Department of Histopathology, Northern General Hospital, Sheffield, UK.
Histopathology. 1989 Nov;15(5):515-21. doi: 10.1111/j.1365-2559.1989.tb01611.x.
Cholesterol embolism is an unusual but serious complication of intra-arterial procedures such as arteriography and angioplasty. The pathological findings in four cases confirm that this syndrome is due to disseminated micro-emboli composed mainly of cholesterol crystals and that these originate from atheromatous plaques in the aorta which may be traumatized by the catheter used in the intra-arterial procedure. However, angiography is not the sole precipitating cause of this syndrome but is an exacerbating event in a pre-existing process.
胆固醇栓塞是动脉造影和血管成形术等动脉内操作中一种罕见但严重的并发症。4例患者的病理检查结果证实,该综合征是由主要由胆固醇结晶组成的弥漫性微栓子所致,这些微栓子源自主动脉粥样斑块,而动脉内操作中使用的导管可能会损伤这些斑块。然而,血管造影并非该综合征的唯一诱发因素,而是在已有病变过程中的一个加剧事件。