Cholesterol emboli syndrome medical therapy
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Medical Therapy
Treatment of an episode of cholesterol emboli is generally symptomatic, i.e. it deals with the symptoms and complications but cannot reverse the phenomenon itself. In kidney failure resulting from cholesterol crystal emboli, statins have been shown to halve the risk of requiring hemodialysis.
- No definitive therapy at this time; supportive care, fluids
- The role of anticoagulation is not clear – some of advocated anticoagulation and others have warned against it.
- Some have advocated lipid-lowering agents.
- Unclear role for glucocorticoids, even when significant eosinophilia is present
- Anecdotal case reports have reported improvement