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Hemodialysis Catheter-Related Thrombi: A Challenging Patient

Patients requiring renal replacement therapy remain a significant burden on the healthcare system. A substantial amount of hospitalization costs for these patients are related to vascular complications, especially catheter-related thrombosis, which is associated with a significant increase in morbid...

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Autores principales: Abrantes, Catarina, Soares, Elsa, Valério, Patrícia, Furtado, Teresa, Barreto, Carlos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336632/
https://www.ncbi.nlm.nih.gov/pubmed/32642353
http://dx.doi.org/10.7759/cureus.8438
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author Abrantes, Catarina
Soares, Elsa
Valério, Patrícia
Furtado, Teresa
Barreto, Carlos
author_facet Abrantes, Catarina
Soares, Elsa
Valério, Patrícia
Furtado, Teresa
Barreto, Carlos
author_sort Abrantes, Catarina
collection PubMed
description Patients requiring renal replacement therapy remain a significant burden on the healthcare system. A substantial amount of hospitalization costs for these patients are related to vascular complications, especially catheter-related thrombosis, which is associated with a significant increase in morbidity and mortality. We report the case of a male patient with multiple myeloma (MM) and dialysis-dependent renal failure due to light-chain cast nephropathy, who presented recurrent early catheter dysfunction. A large thrombus was detected, extending from the superior vena cava (SVC) to the right atrium (RA) and later at the inferior vena cava (IVC), ultimately leading to exhaustion of vascular capital. To this date, there is limited evidence regarding the best approach to catheter-related thrombosis, which frequently leads to treatment dilemmas in clinical practice and demands careful evaluation and individualized decisions. In patients with a highly thrombotic profile, peritoneal dialysis may be considered earlier to prevent further vascular capital damage.
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spelling pubmed-73366322020-07-07 Hemodialysis Catheter-Related Thrombi: A Challenging Patient Abrantes, Catarina Soares, Elsa Valério, Patrícia Furtado, Teresa Barreto, Carlos Cureus Nephrology Patients requiring renal replacement therapy remain a significant burden on the healthcare system. A substantial amount of hospitalization costs for these patients are related to vascular complications, especially catheter-related thrombosis, which is associated with a significant increase in morbidity and mortality. We report the case of a male patient with multiple myeloma (MM) and dialysis-dependent renal failure due to light-chain cast nephropathy, who presented recurrent early catheter dysfunction. A large thrombus was detected, extending from the superior vena cava (SVC) to the right atrium (RA) and later at the inferior vena cava (IVC), ultimately leading to exhaustion of vascular capital. To this date, there is limited evidence regarding the best approach to catheter-related thrombosis, which frequently leads to treatment dilemmas in clinical practice and demands careful evaluation and individualized decisions. In patients with a highly thrombotic profile, peritoneal dialysis may be considered earlier to prevent further vascular capital damage. Cureus 2020-06-04 /pmc/articles/PMC7336632/ /pubmed/32642353 http://dx.doi.org/10.7759/cureus.8438 Text en Copyright © 2020, Abrantes et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Nephrology
Abrantes, Catarina
Soares, Elsa
Valério, Patrícia
Furtado, Teresa
Barreto, Carlos
Hemodialysis Catheter-Related Thrombi: A Challenging Patient
title Hemodialysis Catheter-Related Thrombi: A Challenging Patient
title_full Hemodialysis Catheter-Related Thrombi: A Challenging Patient
title_fullStr Hemodialysis Catheter-Related Thrombi: A Challenging Patient
title_full_unstemmed Hemodialysis Catheter-Related Thrombi: A Challenging Patient
title_short Hemodialysis Catheter-Related Thrombi: A Challenging Patient
title_sort hemodialysis catheter-related thrombi: a challenging patient
topic Nephrology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336632/
https://www.ncbi.nlm.nih.gov/pubmed/32642353
http://dx.doi.org/10.7759/cureus.8438
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