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KMID : 0359720180360030223
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Journal of the Korean Neurological Association
2018 Volume.36 No. 3 p.223 ~ p.225
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Renal Cholesterol Embolism during Warfarin Treatment
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Yoon Seon-Min
Bae Jong-Seok
Lee Ju-Hun
Song Hong-Ki
Yoo Jin-Hyuk
Kang Dong-Gook
Seo Jin-Young
Nam Eun-Sook
Shin Dong-Ho
Kim Ye-Rim
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Abstract
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Cholesterol embolization syndrome (CES) usually occurs after endovascular procedures, it may also occurs after using anticoagulants and thrombolytics. We report a case of 66-year-old man with sudden elevation of creatinine after using warfarin due to cortical infarction. Histologic examinations revealed a cholesterol cleft on the arcuate artery. We concluded it as warfarin induced atheroembolic renal disease. Careful observation of kidneys is necessary in the case of renal abnormalities after using anticoagulation, considering the possibility of cholesterol embolism due to anticoagulant therapy.
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KEYWORD
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Embolism, Cholesterol, Warfarin
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