Abstract
Objective: To emphasize the importance of peripheral cholesterol microembolization following interventional radiologic procedures. Case report: A 50-year-old man with ischemic symptoms of lower extremity was admitted to our hospital. On angiography, he had long segment right iliac artery occlusion, short segment stenosis of the left common iliac artery and diffuse aortic atheromatous plaque. Iliac artery occlusion was recanalized and stented successfully. Left main iliac stenosis was dilated by percutaneous transluminal angioplasty (PTA). Five days later, oedema, livedo reticularis and discoloration developed in bilateral lower extremity. Gastrocnemius muscle biopsy revealed cholesterol microemboli in small arteries. The disease was treated by anticoagulation and thrombolytic therapy but the patient developed multiorgan failure and died of cardiopulmonary insufficiency within 3 days. Conclusions: Blue toe syndrome following interventional radiological procedures is life-threatening and can cause severe morbidity and even mortality. Interventional radiologist should be aware of this complication and embolic sources.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
