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KORONER ANJİOGRAFİ, PTCA ve STENT UYGULAMASINI TAKİBEN GELİŞEN KOLESTEROL KRİSTAL EMBOLİSİNE BAĞLI, AKUT BÖBREK YETERSİZLİĞİ VE PERİFERİK ARTER EMBOLİLİ BİR OLGU SUNUMU

Journal Name:

  • İstanbul Tıp Fakültesi Dergisi

Publication Year:

  • 2004

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Acute renal failure and peripheic arteriaî embolism duc to cholesferol crysTal embolism foüo-wing coronary anjiography, PTCA and stenting: a case report. Cholesterol crystal emboli syndrome is a multİsystcmic disorder gcnerally invoJving the skin, muscle, kidneys, eyes, gastrointestİna] tract and central ncrvoııs syslem. İt is characlerized by ocelusion of small arte-ries wİth cholesterol crystal emboli derivİng fVom mechanically or spontaneously eroded alhe-rosclerotic plaqııes of Ihe aorta or largcr fecder arferies, causiııg organ damage. Cholesterol crystal embolism is a common complication of angiography, vascular surgery, thronıboiytic and antİcoagıılant therapy in cldcrly patients but of ten, this diagnosis not considered. A patient who develops vvorsening renal funetion, hypcrtcnsion, distal isehemia, or acute multİsystemic dysfuııction followİng an invasive arteriaî procedure should bc suspected of having cholesterol embolism syndrome. Thereby, wc present a patient with cholesterol crystal emboli who pre-sented with acute renal faİlure and peripheric embolism afler coronary angiography
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Abstract (Original Language): 
Kolesterol kristal embolisi sendromu, deri, böbrek, kas, göz, gastrointeslinal ve santral sinir sistemini İlgilendiren mulîisistemik bir hastalıktır. Aorta ve büyük arterlerdeki aterom plaklarından mekanik veya spontan olarak kopan kolesterol kristallerinin, dolaşıma katılarak küçük arterleri tıkaması ve organ hasarına neden olması ile karaklerizcdir. Kolesterol kristal embolisi, yaşlı hastalarda, anjiografi, vaskülcr cerrahi, trombolitik ve antikoagiitan tedavi sonrası sık gelişebilen bir komplikasyondur fakat tanı konulmasında genellikle güçlüklerle karşılaşılır. İn-vaziv artcriycl girişim sonrası, böbrek fonksiyonlarında kötüleşme, hipertansiyon, distal iske-mi veya akut multiorgan fonksiyon bozukluğu gelişen hastalarda kolesterol kristal embolisi sendromu. mutlaka düşünülmelidir. Yazımızda akut böbrek yetersizliği ve periferik arter embolisi ile kendini gösteren bir kolesterol kristal embolisi vakası tartışılmıştır.
FULL TEXT (PDF): 
PDF icon arastirmax-koroner-anjiografi-ptca-stent-uygulamasini-takiben-gelisen-kolesterol-kristal-embolisine-bagli-akut-bobrek-yetersizligi-periferik-arter-embolili-bir-olgu-sunumu.pdf
  • 3
167-171
  • Turkish

REFERENCES

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