Right atrial thrombus due to internal jugular vein catheter

Ram, R; Swarnalatha, G; Rakesh, Yarlagadda; Jyostna, Maddury; Prasad, Neela; Dakshinamurty, Kaligotla Venkata

doi:10.1111/j.1542-4758.2009.00385.x

Cited by 17 publications

(11 citation statements)

References 25 publications

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“…However, our results showed that when the tip is positioned in the right atrium, the functionality, durability, and the rate of complications (catheter thrombosis and dysfunction) that occur were similar to those that happened when a catheter tip is positioned in CAJ. In contrast to some results of previous studies, our results showed a very low incidence of catheter thrombosis in tips placed in CAJ and the right atrium [12,13,14]. The same conclusion could be drawn for catheter dysfunction.…”

Section: Discussioncontrasting

confidence: 57%

The Different Impacts on the Long-Term Survival of Tunneled Internal Jugular Hemodialysis Catheters Based on Tip Position and Laterality

Premužić

Perkov²,

Smiljanić³

et al. 2017

Blood Purif

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Background/Aims: The aim of this study was to examine the impact of different catheter tip positions on the life of the catheter, dysfunction, infection, and quality of hemodialysis and possible differences between the access site laterality in jugular-tunneled hemodialysis catheters. Methods: Catheters were evaluated for the following parameters: place of insertion, time of insertion, duration of use, and reason for removal. In all patients, the catheter tip position was checked using an X-ray. Results: The mean duration of implanted catheters with the tip placed in the cavo-atrial junction and right atrium was significantly longer. There were no differences in catheter functionality at follow-up or complications based on catheter laterality for each catheter tip position. Conclusion: According to our results, the localization of the catheter tip in superior vena cava still remains the least preferable method. Our results showed that the main factor responsible for better catheter functionality was not laterality but the depth to which the catheter tip is inserted into the body.

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Section: Discussioncontrasting

confidence: 57%

The Different Impacts on the Long-Term Survival of Tunneled Internal Jugular Hemodialysis Catheters Based on Tip Position and Laterality

Premužić

Perkov²,

Smiljanić³

et al. 2017

Blood Purif

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“…removal of the catheter. Surgical thrombectomy should also be considered in case of a progressively growing thrombus even if small or in case of an infected RAT (6). In our case, in which both anticoagulation and surgery were contraindicated, the progression was favorable without either of those treatments.…”

Section: Letters To the Editor 639mentioning

confidence: 68%

“…Magnetic resonance imaging (MRI) revealed that RAT in TTE was uninformative. It could be a useful alternative to TEE (6).…”

Section: Discussionmentioning

confidence: 99%

Catheter‐Related Atrial Thrombus in a Patient on Hemodialysis

et al. 2013

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“…Thrombosis is typically seen on echocardiography as a mass with a variable echo and a free-floating motion [8]. The use of CT and MRI is important in the detection of thrombosis because they do not have the limitations of echocardiography, such as operator dependence, a restricted acoustic window, and limited imaging of the right side of the heart (Table 1).…”

Section: Thrombosismentioning

confidence: 99%

“…RA thrombus is a fatal complication that may cause pulmonary embolism or septicemia [8]. Thus, its detection is crucial, and imaging modalities are important tools.…”

Section: Thrombosismentioning

confidence: 99%

CT and MRI evaluation of cardiac complications in patients with hematologic diseases: a pictorial review

Kim

Jung

Kim

et al. 2015

Int J Cardiovasc Imaging

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Cardiac complications with hematologic diseases are not uncommon but it is difficult to diagnose, due to non-specific clinical symptoms. Prompt recognition of these potentially fatal complications by cardiac computed tomography (CT) or cardiac magnetic resonance imaging (MRI) may help to direct clinicians to specific treatments according to causes. Thrombosis is often related to central venous catheter use and is usually located at the catheter tip near the atrial wall. Differentiation of thrombosis from normal structure is possible with CT and, distinction of a thrombus from a tumor is possible on a delayed enhancement MRI with a long inversion time (500-600 ms). Granulocytic sarcoma of the heart is indicated by an infiltrative nature with involvement of whole layers of myocardium on CT and MRI. MRI with T2* mapping is useful in evaluating myocardial iron content in patients with hemochromatosis. Diffuse subendocardial enhancement is typically observed on delayed MRIs in patients with cardiac amyloidosis. T1 mapping is an emerging tool to diagnose amyloidosis. Myocardial abscess can occur due to an immunocompromised status. CT and MRI show loculated lesions with fluid density and concomitant rim-like contrast enhancement. Awareness of CT and MRI findings of cardiac complications of hematologic diseases can be helpful to physicians for clinical decision making and treatment.

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Right atrial thrombus due to internal jugular vein catheter

Cited by 17 publications

References 25 publications

The Different Impacts on the Long-Term Survival of Tunneled Internal Jugular Hemodialysis Catheters Based on Tip Position and Laterality

The Different Impacts on the Long-Term Survival of Tunneled Internal Jugular Hemodialysis Catheters Based on Tip Position and Laterality

Catheter‐Related Atrial Thrombus in a Patient on Hemodialysis

CT and MRI evaluation of cardiac complications in patients with hematologic diseases: a pictorial review

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