Hyperbaric oxygen therapy in a case of cholesterol crystal embolization

Prednisone at a daily dose of 25 mg (0.3 mg/[kg d]) and atorvastatin at a daily dose of 80 mg were started in addition to aspirin, clopidogrel, losartan, and amlodipine that the patient assumed at home. [...]narcotic therapy with tramadol chlorhydrate was added to relieve severe leg pain of which th...

Full description

Saved in:
Bibliographic Details
Published in:The American journal of emergency medicine 2011-07, Vol.29 (6), p.694.e3-694.e6
Main Authors: Gurgo, Angela, MD, Valenti, Valentina, MD, Paneni, Francesco, MD, Passerini, Jasmine, MD, Di Vavo, Marta, MD, Calvieri, Camilla, MD, Cacchi, Claudio, MD, Bartolazzi, Armando, MD, Sabani, Anna, MD, Volpe, Massimo, MD
Format: Article
Language:English
Subjects:
Angioplasty, Balloon, Coronary - adverse effects
Anticoagulants
Blood
Cholesterol
Diabetes
Embolism, Cholesterol - diagnosis
Embolism, Cholesterol - etiology
Embolism, Cholesterol - therapy
Emergency
Emergency medical care
Humans
Hyperbaric Oxygenation
Hypotheses
Iloprost - therapeutic use
Ischemia
Kinases
Male
Middle Aged
Mortality
Myocardial Infarction - therapy
Necrosis
Oxygen
Oxygen therapy
Pain
Peripheral Vascular Diseases - diagnosis
Peripheral Vascular Diseases - etiology
Peripheral Vascular Diseases - therapy
Platelet Aggregation Inhibitors - therapeutic use
Radiology
Statins
Stents
Tomography, X-Ray Computed
Ulcers
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Prednisone at a daily dose of 25 mg (0.3 mg/[kg d]) and atorvastatin at a daily dose of 80 mg were started in addition to aspirin, clopidogrel, losartan, and amlodipine that the patient assumed at home. [...]narcotic therapy with tramadol chlorhydrate was added to relieve severe leg pain of which the patient had complained. Despite the progress of radiology and vascular surgery with their possible complications, CCE is still underdiagnosed; and its treatment is not codified. [...]it is very important that clinicians be aware of the risks of CCE after vascular procedure. The benefit of HBO are explained by hyperoxygenation of the hypoperfused tissue that induces significant positive changes in the repair process by enhancing fibroblastic replication, collagen synthesis, and neovascularization [19]. [...]hyperoxia has an anti-inflammatory effect in the vascular bed, reducing rolling and adhesion of polymorphonuclear cells in the microcirculation [20].
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2010.05.023