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LIMB ISCHAEMIA AND MULTISYSTEM DYSFUNCTION AS A CONSEQUENCE OF CHOLESTEROL EMBOLIZATION SYNDROME
Following a Coronary artery bypass graft and insertion of an intra-aortic balloon pump, the 63 year-old male patient developed signs of progressive multi-organ dysfunction and ischaemic changes in both of his lower limbs. The diagnosis of cholesterol embolization syndrome was made. This condition ha...
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Published in: | Pakistan Armed Forces medical journal 2021-04, Vol.71 (2), p.714-15 |
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container_title | Pakistan Armed Forces medical journal |
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creator | Faisal, Mohammad Jamal Arif, Anum Bhatti, Ahsin M |
description | Following a Coronary artery bypass graft and insertion of an intra-aortic balloon pump, the 63 year-old male patient developed signs of progressive multi-organ dysfunction and ischaemic changes in both of his lower limbs. The diagnosis of cholesterol embolization syndrome was made. This condition has been noted to be a complication of invasive procedures and endovascular therapies, and is often overlooked and difficult to treat. While the patient’s renal function and pancreatitis showed improvement, the lower limb ischaemia was progressing. Eventually, the patient underwent a bilateral below knee amputation. |
doi_str_mv | 10.51253/pafmj.v71i2.4345 |
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The diagnosis of cholesterol embolization syndrome was made. This condition has been noted to be a complication of invasive procedures and endovascular therapies, and is often overlooked and difficult to treat. While the patient’s renal function and pancreatitis showed improvement, the lower limb ischaemia was progressing. Eventually, the patient underwent a bilateral below knee amputation.</description><identifier>ISSN: 0030-9648</identifier><identifier>EISSN: 2411-8842</identifier><identifier>DOI: 10.51253/pafmj.v71i2.4345</identifier><language>eng</language><publisher>Rawalpindi: Knowledge Bylanes</publisher><subject>Abdomen ; Anticoagulants ; Care and treatment ; Cholesterol ; cholesterol crystal embolizaton ; cholesterol emboli ; Conflicts of interest ; Diabetes ; digital ischaemia ; Embolization ; intra-aortic balloon pump ; Ischemia ; Pancreatitis ; plaque rupture ; Thrombocytopenia</subject><ispartof>Pakistan Armed Forces medical journal, 2021-04, Vol.71 (2), p.714-15</ispartof><rights>COPYRIGHT 2021 Knowledge Bylanes</rights><rights>(c)2021 Pakistan Armed Forces Medical Journal</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2611612784/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2611612784?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,25731,27901,27902,36989,44566,74869</link.rule.ids></links><search><creatorcontrib>Faisal, Mohammad Jamal</creatorcontrib><creatorcontrib>Arif, Anum</creatorcontrib><creatorcontrib>Bhatti, Ahsin M</creatorcontrib><title>LIMB ISCHAEMIA AND MULTISYSTEM DYSFUNCTION AS A CONSEQUENCE OF CHOLESTEROL EMBOLIZATION SYNDROME</title><title>Pakistan Armed Forces medical journal</title><description>Following a Coronary artery bypass graft and insertion of an intra-aortic balloon pump, the 63 year-old male patient developed signs of progressive multi-organ dysfunction and ischaemic changes in both of his lower limbs. The diagnosis of cholesterol embolization syndrome was made. This condition has been noted to be a complication of invasive procedures and endovascular therapies, and is often overlooked and difficult to treat. While the patient’s renal function and pancreatitis showed improvement, the lower limb ischaemia was progressing. Eventually, the patient underwent a bilateral below knee amputation.</description><subject>Abdomen</subject><subject>Anticoagulants</subject><subject>Care and treatment</subject><subject>Cholesterol</subject><subject>cholesterol crystal embolizaton</subject><subject>cholesterol emboli</subject><subject>Conflicts of interest</subject><subject>Diabetes</subject><subject>digital ischaemia</subject><subject>Embolization</subject><subject>intra-aortic balloon pump</subject><subject>Ischemia</subject><subject>Pancreatitis</subject><subject>plaque rupture</subject><subject>Thrombocytopenia</subject><issn>0030-9648</issn><issn>2411-8842</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptkU2L2zAQhk1poWG7P6A3Qc9JJc1Ito9ex2kM_qDr5JBeVFmWFodNnNrZQv99Vae0FDpzGBieeZB4g-A9oyvBuICPF-1Ox9X3kPV8hYDiVbDgyNgyipC_DhaUAl3GEqO3wf00HakvARypWARfi7x8IHmTbpOszBOSVGtS7otd3hyaXVaS9aHZ7Kt0l9cVSRqSkLSumuzzPqvSjNQbkm7rIvPkY12QrHyoi_xLMsPNoVo_1mX2Lnjj9PNk73_Pu2C_yXbpdlnUn_I0KZaGh3Bdto6HzoBBFqGgING0QhsUjjMTx9DJTjKMES04YdHFfoKhPG4BKVrr4C7Ib95u0Ed1GfuTHn-oQfdqXgzjk9LjtTfPVrVgYi6FbVsnkdFQQ9hB23aMWm-S4F0fbq7LOHx7sdNVHYeX8eyfr7hkTDIeRviXetJe2p_dcB21OfWTUYmUEHGUEHtq9R_Kd2dPvRnO1vV-_88Bux2YcZim0bo_n2FUzXGrOW41x61-xQ0_ASpmlNY</recordid><startdate>20210430</startdate><enddate>20210430</enddate><creator>Faisal, Mohammad Jamal</creator><creator>Arif, Anum</creator><creator>Bhatti, Ahsin M</creator><general>Knowledge Bylanes</general><general>AsiaNet Pakistan (Pvt) Ltd</general><general>Army Medical College Rawalpindi</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>DOA</scope></search><sort><creationdate>20210430</creationdate><title>LIMB ISCHAEMIA AND MULTISYSTEM DYSFUNCTION AS A CONSEQUENCE OF CHOLESTEROL EMBOLIZATION SYNDROME</title><author>Faisal, Mohammad Jamal ; Arif, Anum ; Bhatti, Ahsin M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c273t-bf27fc3c418450364cb5ac45f21c993d6d614944e3f5e4f9e3f3c029b3404eef3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Abdomen</topic><topic>Anticoagulants</topic><topic>Care and treatment</topic><topic>Cholesterol</topic><topic>cholesterol crystal embolizaton</topic><topic>cholesterol emboli</topic><topic>Conflicts of interest</topic><topic>Diabetes</topic><topic>digital ischaemia</topic><topic>Embolization</topic><topic>intra-aortic balloon pump</topic><topic>Ischemia</topic><topic>Pancreatitis</topic><topic>plaque rupture</topic><topic>Thrombocytopenia</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Faisal, Mohammad Jamal</creatorcontrib><creatorcontrib>Arif, Anum</creatorcontrib><creatorcontrib>Bhatti, Ahsin M</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Pakistan Armed Forces medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Faisal, Mohammad Jamal</au><au>Arif, Anum</au><au>Bhatti, Ahsin M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>LIMB ISCHAEMIA AND MULTISYSTEM DYSFUNCTION AS A CONSEQUENCE OF CHOLESTEROL EMBOLIZATION SYNDROME</atitle><jtitle>Pakistan Armed Forces medical journal</jtitle><date>2021-04-30</date><risdate>2021</risdate><volume>71</volume><issue>2</issue><spage>714</spage><epage>15</epage><pages>714-15</pages><issn>0030-9648</issn><eissn>2411-8842</eissn><abstract>Following a Coronary artery bypass graft and insertion of an intra-aortic balloon pump, the 63 year-old male patient developed signs of progressive multi-organ dysfunction and ischaemic changes in both of his lower limbs. The diagnosis of cholesterol embolization syndrome was made. This condition has been noted to be a complication of invasive procedures and endovascular therapies, and is often overlooked and difficult to treat. While the patient’s renal function and pancreatitis showed improvement, the lower limb ischaemia was progressing. Eventually, the patient underwent a bilateral below knee amputation.</abstract><cop>Rawalpindi</cop><pub>Knowledge Bylanes</pub><doi>10.51253/pafmj.v71i2.4345</doi><tpages>-698</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Abdomen Anticoagulants Care and treatment Cholesterol cholesterol crystal embolizaton cholesterol emboli Conflicts of interest Diabetes digital ischaemia Embolization intra-aortic balloon pump Ischemia Pancreatitis plaque rupture Thrombocytopenia |
title | LIMB ISCHAEMIA AND MULTISYSTEM DYSFUNCTION AS A CONSEQUENCE OF CHOLESTEROL EMBOLIZATION SYNDROME |
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