Document Detail


Central venous catheter mechanical irritation of the right atrial free Wall:A cause for thrombus formation.
MedLine Citation:
PMID:  10516410     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thromboembolism is a major complication of long-term central venous catheter, usually associated with catheter or venous occlusion. Intracavitary right atrial thrombosis is currently considered to result from line-tip thrombosis extension. We report three adult patients in whom repeated mechanical trauma to the right atrial wall was probably the main mechanism. Transesophageal echocardiography revealed back and forth movement of the central catheter into a thrombus attached to the right atrial wall, thus suggesting a mechanism of catheter-associated thrombus formation, not previously visualized or suggested. Catheter removal and anticoagulation administration were undertaken with an uneventful clinical course and almost complete disappearance of the thrombi on transesophageal echocardiography follow-up.
Authors:
S Fuchs; A Pollak; D Gilon
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiology     Volume:  91     ISSN:  0008-6312     ISO Abbreviation:  Cardiology     Publication Date:  1999  
Date Detail:
Created Date:  1999-11-18     Completed Date:  1999-11-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  1266406     Medline TA:  Cardiology     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  169-72     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Hadassah Medical Center, Ein-Kerem, Jerusalem, Israel.
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MeSH Terms
Descriptor/Qualifier:
Adult
Catheterization, Central Venous / adverse effects*
Female
Heart Atria
Heart Diseases / etiology*,  ultrasonography
Humans
Middle Aged
Thrombosis / etiology*,  ultrasonography

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