Document Detail

Sleeve thrombus fibrosis causing neck pain.
MedLine Citation:
PMID:  10850946     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Central venous catheter occlusion due to thrombus formation is the most common cause for malfunction of long-term indwelling catheters. The exact pathology and pathogenesis of this common complication is misunderstood because of an array of terms being used interchangeably in the literature. This article identifies the pathogenesis and symptoms and gives suggestions for the treatment of central venous catheter-related thrombosis. METHODS: Our case report is of a girl who had a percutaneously placed left subclavian central venous line attached to her vascuport. After 9 months she developed severe pain over the catheter tubing on injection into the port. Surgical exploration of the catheter tubing in the infraclavicular region demonstrated that the pain was due to retrograde flow around the catheter within a sleeve thrombus. CONCLUSIONS: In this type of patient, all precautions should be taken to minimize the risk of thrombus formation, including considering the prophylactic use of anticoagulants.
A Ghosh; D M Griffiths
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  JPEN. Journal of parenteral and enteral nutrition     Volume:  24     ISSN:  0148-6071     ISO Abbreviation:  JPEN J Parenter Enteral Nutr     Publication Date:    2000 May-Jun
Date Detail:
Created Date:  2000-09-06     Completed Date:  2000-11-21     Revised Date:  2007-02-21    
Medline Journal Info:
Nlm Unique ID:  7804134     Medline TA:  JPEN J Parenter Enteral Nutr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  180-2     Citation Subset:  IM    
Southampton General Hospital, United Kingdom.
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MeSH Terms
Catheterization, Central Venous / adverse effects*
Child, Preschool
Neck Pain / etiology*
Thrombophlebitis / etiology,  physiopathology*,  prevention & control,  therapy
Thrombosis / etiology*,  prevention & control

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