Cholesterol Emboli Syndrome
Occlusion of distal arteries by atherosclerotic emboli, resulting in microcirculatory occlusion.
Epidemiology and Risk Factors
Pathophysiology
Aetiology
- Spontaneous
- Vascular intervention
- Aortic clamping
- Cardiac surgery
- Aortic surgery
- Large vessel catheterisation
- IABP
- Cardiac catheterisation
- Peripheral vascular surgery
- Aortic clamping
Clinical Features
Assessment
History
Exam
- Livedo reticularis
Investigations
Bedside:
Laboratory:
Imaging:
Other:
Diagnostic Approach and DDx
Management
Goals of management
Resuscitation:
Specific therapy:
- Pharmacological
- Procedural
- Physical
Supportive care:
Disposition:
Preventative:
Marginal and Ineffective Therapies
Anaesthetic Considerations
Complications
Prognosis
Key Studies
References
- Dünser MW, Dankl D, Petros S, Mer M. Clinical Examination Skills in the Adult Critically Ill Patient. Springer International Publishing; 2018.