9_11_07_atheroemboli

9_11_07_atheroemboli - Tuesday Clinical Case Conference...

Info iconThis preview shows pages 1–10. Sign up to view the full content.

View Full Document Right Arrow Icon
Tuesday Clinical Case Conference 9/11/07 Zae Kim
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Atheroembolic disease (Cholesterol Crystal Embolism) Epidemiology Clinical and pathologic findings Diagnosis Pathogenesis Treatment
Background image of page 2
Atheroembolic Renal Disease (AERD) An underdiagnosed and increasing cause of renal failure Caused by showers of cholesterol crystals from an atherosclerotic aorta that occlude small renal arteries Often multisystemic Iatrogenic complication Treatment?
Background image of page 3

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Epidemiology retrospective autopsy study antemortem biopsy study
Background image of page 4
Incidence: retrospective autopsy studies Reference Incidence (%) Population Under Study Autopsy studies Kealy 1 Unselected series (n = 2,126) Cross 2.4 Unselected series (n = 372) Moolenar and Lamers 0.31 Unselected series (n = 89,075) 12.3 Severe aortic atherosclerosis (n = 57) 1 Moderate aortic atherosclerosis (n = 147) Flory 0 No aortic atherosclerosis (n = 63) 77 Aortic surgery (n = 22) 31 Nonoperated aneurysm (n = 42) 15.8 Severe atherosclerosis (n = 38) Thurlbeck and Castleman 0 Minimal atherosclerosis (n = 44) Gore and Collins 17.6 Subjects >60 y (n = 34) Ramirez et al 27 Cardiac catheterization (n = 71)
Background image of page 5

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Incidence: antemortem biopsy studies Reference Incidence (%) Population Under Study Kidney biopsy studies Jones and Iannacone 1 Consecutive biopsies (n = 755) Lie 1 Consecutive biopsies (n = 4,580) Preston et al 3.4 Subjects 65 y (n = 334) 0.8 Consecutive biopsies (n = 1,219) Stone and Fogo 5.5 Elderly subjects (n = 91)
Background image of page 6
Incidence: Reference Incidence (%) Population Under Study Angiographic studies Drost et al 0.15 Cardiac catheterization (n = 4,578) Colt et al 0.18 Cardiac catheterization (n = 3,733) Johnson et al 0.06 Coronary angioplasty (n = 1,579) Frock et al 0.1 Angiography (n = 14,998)
Background image of page 7

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Risk factors
Background image of page 8
PARAMETER   BELENFANT   THADHANI   VIDT   FINE    Publication year 1998 1995 1989 1987 Demographics           Number of patients   67   52   24   221   Mean age (range, yr)   69 ± 8   69 ± 7   62 (45–75)   66 (26–90)   Male (%)   96   75   80   77   White rate (%)   100 [b]   100   ?  
Background image of page 9

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
Image of page 10
This is the end of the preview. Sign up to access the rest of the document.

Page1 / 40

9_11_07_atheroemboli - Tuesday Clinical Case Conference...

This preview shows document pages 1 - 10. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online