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Right atrial thrombus in an asymptomatic hemodialysis patient with malfunctioning catheter and patent foramen ovale

(2005) HEMODIALYSIS INTERNATIONAL. 9(3). p.236-240
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Abstract
The creation of an accurate functioning arteriovenous fistula has been a long-lasting problem in the hemodialysis setting. In spite of recent guidelines and largely because of the old age of the current dialysis population and a high incidence of diabetes mellitus, atherosclerosis, and related vascular problems, it is not always possible to create an adequate fistula. In that case, long-term tunneled indwelling central vein catheters are a frequently used alternative. Of the many possible complications related to venous access in hemodialysis patients, catheter dysfunction is the most prevalent. We report a 23-year-old female hemodialysis patient in whom such malfunctioning was followed by echocardiography that revealed a large right atrial thrombus (RAT) in close contact to the tip of a longterm indwelling catheter in the presence of a patent foramen ovale. Although RAT is a rare complication in hemodialysis patients, it has very specific therapeutic implications. The present patient underwent a successful surgical atrial thrombectomy. Our experience underscores that in cases of malfunctioning catheter, echocardiographic screening is mandatory.
Keywords
catheter, Hemodialysis, atrium, malfunctioning, thrombus, patient foramen

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Citation

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Chicago
VAN LAECKE, STEVEN, Annemieke Dhondt, Johan De Sutter, and Raymond Vanholder. 2005. “Right Atrial Thrombus in an Asymptomatic Hemodialysis Patient with Malfunctioning Catheter and Patent Foramen Ovale.” Hemodialysis International 9 (3): 236–240.
APA
VAN LAECKE, S., Dhondt, A., De Sutter, J., & Vanholder, R. (2005). Right atrial thrombus in an asymptomatic hemodialysis patient with malfunctioning catheter and patent foramen ovale. HEMODIALYSIS INTERNATIONAL, 9(3), 236–240.
Vancouver
1.
VAN LAECKE S, Dhondt A, De Sutter J, Vanholder R. Right atrial thrombus in an asymptomatic hemodialysis patient with malfunctioning catheter and patent foramen ovale. HEMODIALYSIS INTERNATIONAL. 2005;9(3):236–40.
MLA
VAN LAECKE, STEVEN, Annemieke Dhondt, Johan De Sutter, et al. “Right Atrial Thrombus in an Asymptomatic Hemodialysis Patient with Malfunctioning Catheter and Patent Foramen Ovale.” HEMODIALYSIS INTERNATIONAL 9.3 (2005): 236–240. Print.
@article{4261643,
  abstract     = {The creation of an accurate functioning arteriovenous fistula has been a long-lasting problem in the hemodialysis setting. In spite of recent guidelines and largely because of the old age of the current dialysis population and a high incidence of diabetes mellitus, atherosclerosis, and related vascular problems, it is not always possible to create an adequate fistula. In that case, long-term tunneled indwelling central vein catheters are a frequently used alternative. Of the many possible complications related to venous access in hemodialysis patients, catheter dysfunction is the most prevalent. We report a 23-year-old female hemodialysis patient in whom such malfunctioning was followed by echocardiography that revealed a large right atrial thrombus (RAT) in close contact to the tip of a longterm indwelling catheter in the presence of a patent foramen ovale. Although RAT is a rare complication in hemodialysis patients, it has very specific therapeutic implications. The present patient underwent a successful surgical atrial thrombectomy. Our experience underscores that in cases of malfunctioning catheter, echocardiographic screening is mandatory.},
  author       = {VAN LAECKE, STEVEN and Dhondt, Annemieke and De Sutter, Johan and Vanholder, Raymond},
  issn         = {1542-4758},
  journal      = {HEMODIALYSIS INTERNATIONAL},
  keywords     = {catheter,Hemodialysis,atrium,malfunctioning,thrombus,patient foramen},
  language     = {eng},
  number       = {3},
  pages        = {236--240},
  title        = {Right atrial thrombus in an asymptomatic hemodialysis patient with malfunctioning catheter and patent foramen ovale},
  url          = {http://dx.doi.org/10.1111/j.1492-7535.2005.01137.x},
  volume       = {9},
  year         = {2005},
}

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