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Cholesterol Embolization Syndrome Misdiagnosed as Acute Limb Ischemia following Intervention for Iliac Artery Occlusion

Cholesterol Embolization Syndrome Misdiagnosed as Acute Limb Ischemia following Intervention for Iliac Artery Occlusion

Cholesterol embolization syndrome (CES) is a multiple systemic disease caused by the embolization of cholesterol crystals from an atherosclerotic plaque of a proximal large-caliber artery, which results in the occlusion of distal small to mediumsized arteries. CES is characterized by development of a multitude of small emboli over time, and should be distinguished from arterial thromboembolism, which occurs through the obstruction of medium-sized to large arteries by one or a few large emboli. We report on a case of CES initially presenting as acute limb ischemia following an intervention for iliac artery occlusion.

Introduction

Case report

Discussion

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