Right atrial thrombi are related to indwelling central venous catheter position: Insights into time course and possible mechanism of formation

1998 ◽  
Vol 135 (3) ◽  
pp. 457-462 ◽  
Author(s):  
Dan Gilon ◽  
David Schechter ◽  
Azaria J.J.T. Rein ◽  
Zvi Gimmon ◽  
Reuven Or ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Time Course ◽  
Venous Catheter ◽  
Right Atrial ◽  
Mechanism Of Formation ◽  
Central Venous ◽  
Catheter Position ◽  
Atrial Thrombi

Agitated saline contrast to delineate central venous catheter position in neonates

2020 ◽  
Author(s):  
Jaya Upadhyay ◽  
Sriparna Basu ◽  
Yash Srivastava ◽  
Kanhu Charan Digal ◽  
Shantanu Shubham ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Venous Catheter ◽  
Central Venous ◽  
Catheter Position

Contrast enhanced ultrasound vs chest X-ray to determine correct central venous catheter position

2014 ◽  
Vol 32 (1) ◽  
pp. 78-81 ◽  
Author(s):  
Francesca Cortellaro ◽  
Luca Mellace ◽  
Stefano Paglia ◽  
Giorgio Costantino ◽  
Sara Sher ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Venous Catheter ◽  
Contrast Enhanced Ultrasound ◽  
Central Venous ◽  
Catheter Position ◽  
X Ray ◽  
Contrast Enhanced ◽  
Chest X Ray

Radiographic Evaluation of Central Venous Catheter Position

2013 ◽  
Vol 28 (2) ◽  
pp. 129-133 ◽  
Author(s):  
Carole Ann Ridge ◽  
Diana Litmanovich ◽  
Francesco Molinari ◽  
Alexander A. Bankier ◽  
Ronald L. Eisenberg
Keyword(s):  
Central Venous Catheter ◽  
Venous Catheter ◽  
Radiographic Evaluation ◽  
Central Venous ◽  
Catheter Position

scholarly journals Is the removal of a central venous catheter always necessary in the context of catheter-related right atrial thrombosis?

2018 ◽  
Vol 20 (1) ◽  
pp. 98-101 ◽  
Author(s):  
Luigi Rossi ◽  
Pasquale Libutti ◽  
Francesco Casucci ◽  
Piero Lisi ◽  
Annalisa Teutonico ◽  
...  
Keyword(s):  
Central Venous Catheter ◽  
Combination Therapy ◽  
Anticoagulation Therapy ◽  
Vena Cava ◽  
Young Patients ◽  
Venous Catheter ◽  
Central Venous Catheters ◽  
Right Atrial ◽  
Central Venous ◽  
Atrial Thrombosis

Catheter-related right atrial thrombosis is a severe and life-threatening complication of central venous catheters in both adult and young patients. Catheter-related right atrial thrombosis can occur with any type of central venous catheters, utilized either for hemodialysis or infusion. Up to 30% of patients with central venous catheter are estimated to be affected by catheter-related right atrial thrombosis; however, neither precise epidemiological data nor guidelines regarding medical or surgical treatment are available. This complication seems to be closely associated with positioning of the catheter tip in the atrium, whereas it is unlikely with a tip located within superior vena cava. Herein, we report the case of a patient affected by catheter-related right atrial thrombosis, who showed a quick resolution of thrombosis with a new therapeutic scheme combining loco-regional thrombolytic therapy (urokinase as a locking solution) and systemic anticoagulation therapy (vitamin K antagonists), thus avoiding catheter removal. Neither complications of the combination therapy were reported, nor recurrence of catheter-related right atrial thrombosis occurred. In conclusion, the combination therapy here described was safe, quick and effective, achieving the goal of not removing the catheter.

Sign in / Sign up

Export Citation Format

Share Document