On October 2015, an 81-year-old White man with clinical history of chronic kidney disease (CKD) stage 3b (sCr 1.6 mg/dL; eGFRMDRD 44 mL/min/1.73m2), type 2 diabetes mellitus, hypertension, dyslipidemia, and smoking habit was hospitalized for ST-elevation myocardial infarction. He underwent primary percutaneous coronary intervention (PCI) with transradial approach and placement of two drug-eluting stents (DES). Three days later, he had nonoliguric contrast-induced acute kidney injury with peak sCr 2.4 mg/dL, his kidney function was almost completely restored within 5 days (sCr 1.9 mg/dL). However, because of severe atherosclerotic disease, the first interventional procedure remained incomplete, and a second PCI was performed 7 days later by transfemoral approach with the placement of an additional DES. At the time of hospital discharge, sCr was comparable to basal values (1.6 mg/dL).

Letter to the editor: a case of atheroembolic renal disease confirmed by skin biopsy and successfully treated with low-dose prednisone / Pistolesi, Valentina; Di Mario, Francesca; Zeppilli, Laura; Giannakakis, Konstantinos; Morabito, Santo. - 90:4(2018), pp. 302-304. [10.5414/CN109449]

Letter to the editor: a case of atheroembolic renal disease confirmed by skin biopsy and successfully treated with low-dose prednisone

Valentina Pistolesi
Primo
;
Francesca Di Mario
Secondo
;
Laura Zeppilli;Konstantinos Giannakakis
Penultimo
;
Santo Morabito
Ultimo
2018

Abstract

On October 2015, an 81-year-old White man with clinical history of chronic kidney disease (CKD) stage 3b (sCr 1.6 mg/dL; eGFRMDRD 44 mL/min/1.73m2), type 2 diabetes mellitus, hypertension, dyslipidemia, and smoking habit was hospitalized for ST-elevation myocardial infarction. He underwent primary percutaneous coronary intervention (PCI) with transradial approach and placement of two drug-eluting stents (DES). Three days later, he had nonoliguric contrast-induced acute kidney injury with peak sCr 2.4 mg/dL, his kidney function was almost completely restored within 5 days (sCr 1.9 mg/dL). However, because of severe atherosclerotic disease, the first interventional procedure remained incomplete, and a second PCI was performed 7 days later by transfemoral approach with the placement of an additional DES. At the time of hospital discharge, sCr was comparable to basal values (1.6 mg/dL).
2018
cholesterol crystal embolism; embolization; severe atherosclerotic disease; chronic kidney disease (CKD); percutaneous coronary intervention (PCI)
01 Pubblicazione su rivista::01f Lettera, Nota
Letter to the editor: a case of atheroembolic renal disease confirmed by skin biopsy and successfully treated with low-dose prednisone / Pistolesi, Valentina; Di Mario, Francesca; Zeppilli, Laura; Giannakakis, Konstantinos; Morabito, Santo. - 90:4(2018), pp. 302-304. [10.5414/CN109449]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1160730
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