Key result
Treatment with catheter removal, thrombolysis, and anticoagulation successfully resolved a 3.0x2.8 cm giant right atrial thrombus and improved left ventricular systolic function.
Why the study?
Does thrombolysis and anticoagulation with catheter removal improve outcomes in a patient with a giant right atrial thrombus associated with a hemodialysis catheter?
Case Report (n=1)
No
Does thrombolysis and anticoagulation with catheter removal improve outcomes in a patient with a giant right atrial thrombus associated with a hemodialysis catheter?
Thrombolysis and anticoagulation combined with catheter removal successfully treated a giant right atrial thrombus and associated heart failure in a hemodialysis patient.
Answers are grounded in this paper and cite their sources.
Hypothesis-generating for catheter removal plus thrombolysis and anticoagulation in giant right atrial thrombus; prospective studies needed before clinical adoption.
There are a variety of tunneled cuffed hemodialysis catheter-related complications including infection, thrombus formation, and catheter dysfunction. Catheter-related thrombus in right atrium is a rare complication and treatment guideline for atrial thrombus does not exist. A 3.0×2.8 cm sized giant atrial thrombus was found in a 35-year-old female hemodialysis patient. She was treated with catheter removal, thrombolysis and anticoagulation therapy. Size of atrial thrombus was gradually decreased and left ventricular systolic function was clearly improved after treatment. We experienced and reported a case of giant right atrial thrombus associated with tunneled cuffed hemodialysis catheter that was successful treated with thrombolytic agent and anticoagulant.
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Song et al. (2013) conducted a case report in Giant right atrial thrombus associated with tunneled cuffed hemodialysis catheter (n=1). Catheter removal, thrombolysis, and anticoagulation was evaluated on Resolution of atrial thrombus and improvement in left ventricular systolic function. Treatment with catheter removal, thrombolysis, and anticoagulation successfully resolved a 3.0x2.8 cm giant right atrial thrombus and improved left ventricular systolic function.
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