Rosansky S J, Deschamps E G
Am J Med Sci. 1984 Jul-Aug;288(1):45-8. doi: 10.1097/00000441-198407000-00012.
Multiple cholesterol emboli syndrome (MCES) after angiography has been reported infrequently. Seven patients (from five reports) who developed MCES after angiography are reviewed. An eighth case is described. All patients had evidence of extensive atherosclerosis. Following angiography of the eight patients, six demonstrated livedo reticularis below the umbilicus; technical difficulties were reported in four; four became febrile and/or hypertensive; and only one survived. Since therapy has been unsuccessful, careful angiographic technique is essential to prevent this syndrome.
血管造影术后发生的多发性胆固醇栓塞综合征（MCES）鲜有报道。本文回顾了7例（来自5篇报告）血管造影术后发生MCES的患者。并描述了第8例病例。所有患者均有广泛动脉粥样硬化的证据。8例患者血管造影术后，6例脐以下出现网状青斑；4例报告存在技术困难；4例出现发热和/或高血压；仅1例存活。由于治疗未成功，谨慎的血管造影技术对于预防该综合征至关重要。
