Author/Authors :
Shokr, Mohamed Internal Medicine Department - Detroit Medical Center - Wayne State University, Detroit, USA , Kaur, Ramanjit Division of Cardiology - Detroit Medical Center - Wayne State University, Detroit, USA , Belgrave, Kevin Internal Medicine Department - Detroit Medical Center - Wayne State University, Detroit, USA , Javed, Arshad Division of Cardiology - Detroit Medical Center - Wayne State University, Detroit, USA , Elder, Mahir Division of Cardiology - Detroit Medical Center - Wayne State University, Detroit, USA , Cardozo, Shaun Division of Cardiology - Detroit Medical Center - Wayne State University, Detroit, USA , Afonso, Luis Division of Cardiology - Detroit Medical Center - Wayne State University, Detroit, USA , Kaki, Amir Division of Cardiology - Detroit Medical Center - Wayne State University, Detroit, USA
Abstract :
Catheter related thrombosis (CRT) is a commonly encountered entity fraught with substantial risk for mortality secondary to
various complications including pulmonary embolism (PE), tricuspid regurgitation, endocarditis, right sided heart failure, and
cardiogenic and septic shock. CRT carries a mortality rate of 18% in hemodialysis patients and more than 40% in nonhemodialysis
patients. Management strategies include systemic anticoagulation, systemic thrombolysis, surgical evacuation, and percutaneous
retrieval with no established guidelines. Ultrasound assisted catheter directed thrombolysis emerges as promising modality with a
relatively lower risk of hemorrhage compared to systemic thrombolysis. We report a case of a 75-year-old man with dialysis catheter
related thrombosis without PE for which ultrasound assisted catheter directed thrombolysis was used successfully as an alternative
therapy.
Keywords :
Catheter , Ultrasound , Thrombolysis , Right Atrial Thrombus
