Key result
Repeated mechanical trauma to the right atrial wall from central venous catheters can cause thrombus formation, which resolved with catheter removal and anticoagulation in three adult patients.
Why the study?
Does catheter removal and anticoagulation improve right atrial thrombosis caused by mechanical irritation from central venous catheters in adult patients?
Population
3 adult patients with long-term central venous catheter and intracavitary right atrial thrombosis
Design
Case_series
Authors
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May support catheter removal plus anticoagulation for resolution; leaves open need for prospective validation.
Case Report (n=3)
Does catheter removal and anticoagulation improve right atrial thrombosis caused by mechanical irritation from central venous catheters in adult patients?
Mechanical trauma to the right atrial wall from central venous catheters can cause thrombus formation, which can be visualized by transesophageal echocardiography and treated with catheter removal and anticoagulation.
Fuchs et al. (1999) conducted a case report in Right atrial thrombosis associated with central venous catheter (n=3). Central venous catheter mechanical irritation was evaluated on Thrombus formation and resolution after catheter removal and anticoagulation. Repeated mechanical trauma to the right atrial wall from central venous catheters can cause thrombus formation, which resolved with catheter removal and anticoagulation in three adult patients.
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