27 March 2008
Retinal cholesterol embolism and visual loss post carotid angioplasty and stenting
Ajeet Gordhan, William RayAm J Case Rep 2008; 9:159-162 :: ID: 849816
Abstract
Background: To our knowledge, isolated retinal cholesterol embolism with central or branch retinal artery occlusion post carotid angioplasty and stenting (CAS) leading to permanent visual loss, has not been previously described.
Case Report: We present a case of monocular retinal cholesterol embolism and central retinal artery occlusion leading to permanent visual acuity loss, occurring 30 hours after performing ipsilateral carotid angioplasty and stenting for high grade stenosis. Retinal cholesterol emboli, otherwise referred to as Hollenhorst plaques, were identified by fundoscopy with changes of retinal ischemia after the patient complained of post procedure visual acuity change.
Conclusions: Identification factors predisposing patients susceptible to embolic risk and judicious selection of instrumentation across the vulnerable plaque during the procedure are important considerations in preventing this complication.
Keywords: occlusion, central retinal artery, cholesterol emboli, carotid artery angioplasty and stenting
In Press
16 Mar 2024 : Case report
Castleman Disease Presenting in the Neck: A Report of 3 Cases and a Literature ReviewAm J Case Rep In Press; DOI: 10.12659/AJCR.943214
16 Mar 2024 : Case report
Early Diagnosis and Successful Empirical Treatment of L1-L2 Spondylodiscitis in a 21-Month-Old Girl: A Case...Am J Case Rep In Press; DOI: 10.12659/AJCR.943010
16 Mar 2024 : Case report
A Rare Autochthonous Case of Hepatic Hydatid Cyst in the Non-Endemic Region of TaiwanAm J Case Rep In Press; DOI: 10.12659/AJCR.943687
17 Mar 2024 : Case report
Contrast-Enhanced Ultrasonography in Diagnosing Intravascular Large B-Cell Lymphoma Infiltrating Liver Sinu...Am J Case Rep In Press; DOI: 10.12659/AJCR.943070
Most Viewed Current Articles
07 Mar 2024 : Case report
Neurocysticercosis Presenting as Migraine in the United StatesDOI :10.12659/AJCR.943133
Am J Case Rep 2024; 25:e943133
10 Jan 2022 : Case report
A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...DOI :10.12659/AJCR.935263
Am J Case Rep 2022; 23:e935263
19 Jul 2022 : Case report
Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19DOI :10.12659/AJCR.936128
Am J Case Rep 2022; 23:e936128
23 Feb 2022 : Case report
Penile Necrosis Associated with Local Intravenous Injection of CocaineDOI :10.12659/AJCR.935250
Am J Case Rep 2022; 23:e935250