Ultrasound Assisted Catheter Directed Thrombolysis in the Management of a Right Atrial Thrombus: A New Weapon in the Armamentarium?
Catheter related thrombosis (CRT) is a commonly encountered entity fraught with substantial risk for mortality secondary to various complications including pulmonary embolism (PE), tricuspid regurgitation, endocarditis, right sided heart failure, and cardiogenic and septic shock. CRT carries a morta...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2016/4167397 |
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| _version_ | 1832548770845294592 |
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| author | Mohamed Shokr Ramanjit Kaur Kevin Belgrave Arshad Javed Mahir Elder Shaun Cardozo Luis Afonso Amir Kaki |
| author_facet | Mohamed Shokr Ramanjit Kaur Kevin Belgrave Arshad Javed Mahir Elder Shaun Cardozo Luis Afonso Amir Kaki |
| author_sort | Mohamed Shokr |
| collection | DOAJ |
| description | Catheter related thrombosis (CRT) is a commonly encountered entity fraught with substantial risk for mortality secondary to various complications including pulmonary embolism (PE), tricuspid regurgitation, endocarditis, right sided heart failure, and cardiogenic and septic shock. CRT carries a mortality rate of 18% in hemodialysis patients and more than 40% in nonhemodialysis patients. Management strategies include systemic anticoagulation, systemic thrombolysis, surgical evacuation, and percutaneous retrieval with no established guidelines. Ultrasound assisted catheter directed thrombolysis emerges as promising modality with a relatively lower risk of hemorrhage compared to systemic thrombolysis. We report a case of a 75-year-old man with dialysis catheter related thrombosis without PE for which ultrasound assisted catheter directed thrombolysis was used successfully as an alternative therapy. |
| format | Article |
| id | doaj-art-830dc7878cf24d9c940e6c07c5f702f5 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-830dc7878cf24d9c940e6c07c5f702f52025-02-03T06:13:09ZengWileyCase Reports in Cardiology2090-64042090-64122016-01-01201610.1155/2016/41673974167397Ultrasound Assisted Catheter Directed Thrombolysis in the Management of a Right Atrial Thrombus: A New Weapon in the Armamentarium?Mohamed Shokr0Ramanjit Kaur1Kevin Belgrave2Arshad Javed3Mahir Elder4Shaun Cardozo5Luis Afonso6Amir Kaki7Internal Medicine Department, Detroit Medical Center, Wayne State University, Detroit, MI, USADivision of Cardiology, Detroit Medical Center, Wayne State University, Detroit, MI, USAInternal Medicine Department, Detroit Medical Center, Wayne State University, Detroit, MI, USADivision of Cardiology, Detroit Medical Center, Wayne State University, Detroit, MI, USADivision of Cardiology, Detroit Medical Center, Wayne State University, Detroit, MI, USADivision of Cardiology, Detroit Medical Center, Wayne State University, Detroit, MI, USADivision of Cardiology, Detroit Medical Center, Wayne State University, Detroit, MI, USADivision of Cardiology, Detroit Medical Center, Wayne State University, Detroit, MI, USACatheter related thrombosis (CRT) is a commonly encountered entity fraught with substantial risk for mortality secondary to various complications including pulmonary embolism (PE), tricuspid regurgitation, endocarditis, right sided heart failure, and cardiogenic and septic shock. CRT carries a mortality rate of 18% in hemodialysis patients and more than 40% in nonhemodialysis patients. Management strategies include systemic anticoagulation, systemic thrombolysis, surgical evacuation, and percutaneous retrieval with no established guidelines. Ultrasound assisted catheter directed thrombolysis emerges as promising modality with a relatively lower risk of hemorrhage compared to systemic thrombolysis. We report a case of a 75-year-old man with dialysis catheter related thrombosis without PE for which ultrasound assisted catheter directed thrombolysis was used successfully as an alternative therapy.http://dx.doi.org/10.1155/2016/4167397 |
| spellingShingle | Mohamed Shokr Ramanjit Kaur Kevin Belgrave Arshad Javed Mahir Elder Shaun Cardozo Luis Afonso Amir Kaki Ultrasound Assisted Catheter Directed Thrombolysis in the Management of a Right Atrial Thrombus: A New Weapon in the Armamentarium? Case Reports in Cardiology |
| title | Ultrasound Assisted Catheter Directed Thrombolysis in the Management of a Right Atrial Thrombus: A New Weapon in the Armamentarium? |
| title_full | Ultrasound Assisted Catheter Directed Thrombolysis in the Management of a Right Atrial Thrombus: A New Weapon in the Armamentarium? |
| title_fullStr | Ultrasound Assisted Catheter Directed Thrombolysis in the Management of a Right Atrial Thrombus: A New Weapon in the Armamentarium? |
| title_full_unstemmed | Ultrasound Assisted Catheter Directed Thrombolysis in the Management of a Right Atrial Thrombus: A New Weapon in the Armamentarium? |
| title_short | Ultrasound Assisted Catheter Directed Thrombolysis in the Management of a Right Atrial Thrombus: A New Weapon in the Armamentarium? |
| title_sort | ultrasound assisted catheter directed thrombolysis in the management of a right atrial thrombus a new weapon in the armamentarium |
| url | http://dx.doi.org/10.1155/2016/4167397 |
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