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Editor's Correspondence |

Cholesterol Embolism: A Fatal Complication After Thrombolytic Therapy for Acute Myocardial Infarction

Ernesto Rivera-Manrique, MD; Antoni Castro-Salomó, MD; Antoni Azón-Masoliver, MD; Lluis Masana Marin, MD, PhD
Arch Intern Med. 1998;158(14):1575. doi:.
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Cholesterol embolism is a rare syndrome that usually occurs as a consequence of angiographic procedures, cardiovascular surgery, or anticoagulant therapy. Only 16 cases of the syndrome occurring after thrombolytic treatment of acute myocardial infarction have been reported in the English-language medical literature.

Schwartz  MWMcDonald  GB Cholesterol embolization syndrome: occurrence after intravenous streptokinase therapy for myocardial infarction. JAMA. 1987;2581934- 1935
Pochmalicki  GFeldman  LMennier  PRougeot  CJan  F Cholesterol embolisation syndrome after thrombolytic therapy for myocardial infarction. Lancet. 1992;33958- 59
Blair  NPHayes  GW Perforation of the small bowel: a case report. Can J Surg. 1995;38281- 282
Wong  FKChan  SKIng  TSLi  CS Acute renal failure after streptokinase therapy in a patient with acute myocardial infarction. Am J Kidney Dis. 1995;26508- 510
Queen  MBiem  HJMoe  OWSugar  L Development of cholesterol embolization syndrome after intravenous streptokinase for acute myocardial infarction. Am J Cardiol. 1990;651042- 1043

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