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Tunnelled central venous catheter-induced thrombosis: a rare case of superior vena cava syndrome.
MedLine Citation:
PMID:  17355686     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Thrombotic venous obstruction in patients with a tunnelled central venous catheter is a cause of superior vena cava syndrome that is not routinely encountered by emergency physicians. Diagnosis requires identifying patients at risk (e.g., those under treatment for cancer and those who have a tunnelled central venous catheter), recognizing the signs and symptoms of superior vena cava syndrome, usually dyspnea and dilated neck or thoracic veins, and imaging the venous obstruction using computer tomography or sonography. Management involves anticoagulation and local thrombolytic administration. We report the case of a 28-year-old woman who presented with a 2-day history of face, chest and bilateral arm swelling who had been receiving maintenance chemotherapy for acute lymphoblastic leukemia through a Hickman catheter. This case demonstrates the need to be vigilant for thrombus formation in patients with long-term, indwelling central venous catheters.
Authors:
Sandeep K Aggarwal; William McCauley
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  CJEM     Volume:  7     ISSN:  1481-8035     ISO Abbreviation:  CJEM     Publication Date:  2005 Jul 
Date Detail:
Created Date:  2007-03-14     Completed Date:  2010-06-28     Revised Date:  2011-10-05    
Medline Journal Info:
Nlm Unique ID:  100893237     Medline TA:  CJEM     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  273-7     Citation Subset:  -    
Affiliation:
Schulich School of Medicine, University of Western Ontario, London, Ontario, Canada. saggarwal2006@meds.uwo.ca
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