Catheter-associated right atrial thrombus is an uncommon but morbid complication of tunneled hemodialysis catheters that requires early diagnosis.
Heightened suspicion for CRAT warranted in catheter infections; case report leaves open incidence, prevention, and management questions.
Tunneled hemodialysis (HD) catheter-associated right atrial thrombus (CRAT) is an uncommon complication with significant morbidity. We report the case of a patient undergoing HD through tunneled venous catheter who presented with catheter dysfunction and sepsis and was diagnosed to have CRAT with septic embolism. CRAT formation has a significant association with catheter-related infection. The need for early diagnosis and various treatment options for this entity are highlighted.
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Vyahalkar et al. (2017) studied this question.
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