| Transesophageal echocardiography during removal of central venous catheter associated with thrombus in superior vena cava. | |
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MedLine Citation:
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PMID: 9012395 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Thrombosis of upper extremity veins and superior vena cava (SVC) can occur in patients with indwelling central venous catheters. Contrary to earlier reports, pulmonary embolism (PE) can result from these thrombi, especially when they are attached to catheters (sleeve thrombi) in contrast to venous wall (mural thrombi). Removal of catheters may be required when sepsis occurs or to reduce risk of sepsis when lines have been left in for several days. We describe two patients with thrombi in SVC related to central venous catheters in whom transesophageal echocardiography (TEE) was performed during catheter removal to monitor for thrombus dislodgement. TEE may have a role in showing thrombus dislodgement and embolization during removal of venous catheters complicated by SVC thrombi. Direct visualization of thrombus dislodgement may aid in early diagnosis of PE because signs and symptoms of PE are often missed or mistaken for underlying cardiopulmonary disease. TEE may also play a role in implementing appropriate treatment in patients with PE who show right ventricular strain. |
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Authors:
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C A Sivaram; P Craven; K Chandrasekaran |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: American journal of cardiac imaging Volume: 10 ISSN: 0887-7971 ISO Abbreviation: Am J Card Imaging Publication Date: 1996 Oct |
Date Detail:
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Created Date: 1997-04-10 Completed Date: 1997-04-10 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8706659 Medline TA: Am J Card Imaging Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 266-9 Citation Subset: IM |
Affiliation:
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University of Oklahoma Health Sciences Center, Oklahoma City, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Catheterization, Central Venous / adverse effects* Echocardiography, Transesophageal* Female Follow-Up Studies Humans Middle Aged Monitoring, Intraoperative / methods Pulmonary Embolism / etiology, ultrasonography Risk Factors Superior Vena Cava Syndrome / etiology, ultrasonography* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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