Surgical management of a hemodialysis catheter-induced right atrial thrombus.
Curr Surg
; 63(3): 186-9, 2006.
Article
en En
| MEDLINE
| ID: mdl-16757370
ABSTRACT
The placement of hemodialysis catheters are widely performed by vascular surgeons and surgical residents for use in both the hospital and the outpatient setting. Although long-term complications of this type of vascular access are relatively uncommon, an appreciation is warranted for the life-threatening complication of right atrial thrombus (RAT). Once recognized, medical or surgical management is mandatory to prevent further consequences from RAT. The optimal treatment for catheter-induced RAT is still controversial. Our case and review illustrates how the routine placement of a malpositioned hemodialysis catheter in a young man can lead to the serious complication of RAT that necessitated cardiac surgery after thrombolysis failed. We describe the successful surgical management of a hemodialysis catheter-induced RAT and suggest that in cases of large, mobile RATs with adherence to both atrial wall and catheter, suspicion or evidence of pulmonary embolus (PE), and low-risk surgical candidates, open thrombectomy may be an optimal and definitive treatment.
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Bases de datos:
MEDLINE
Asunto principal:
Trombosis
/
Cateterismo Venoso Central
/
Diálisis Renal
/
Atrios Cardíacos
/
Cardiopatías
Tipo de estudio:
Etiology_studies
Límite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
Curr Surg
Año:
2006
Tipo del documento:
Article
País de afiliación:
Estados Unidos