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Right atrial thrombus due to internal jugular vein catheter
Author(s) -
RAM Rapur,
SWARNALATHA Gudithi,
RAKESH Yarlagadda,
JYOSTNA Maddury,
PRASAD Neela,
DAKSHINAMURTY Kaligotla Venkata
Publication year - 2009
Publication title -
hemodialysis international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.658
H-Index - 47
eISSN - 1542-4758
pISSN - 1492-7535
DOI - 10.1111/j.1542-4758.2009.00385.x
Subject(s) - medicine , thrombus , hemodialysis , catheter , hemodialysis catheter , central venous catheter , surgery , internal jugular vein , complication , jugular vein , cardiology
Right atrial thrombus is rare complication of hemodialysis central venous catheter. Literature survey revealed 49 documentations of right atrial thrombus due to a central venous catheter. We report a 58‐year‐old type 2 diabetic, hypertensive, end‐stage renal disease patient, who 2 months after initiation of hemodialysis through a right internal jugular vein catheter, developed clinical features suggestive of pulmonary thromboembolism. An echocardiography revealed presence of a serpentine thrombus in right atrium. The internal jugular vein catheter was removed and unfractionated heparin was initiated. At the end of 6 weeks he was symptom free. We compared conservative treatment with surgery for RAT. Conservative management with central venous catheter removal and anticoagulation therapy is not inferior to the surgery.