Successful endovascular thrombectomy of a dislodged hemodialysis catheter fragment and thrombus from the superior vena cava via the basilic vein: A case report
In multimorbid patients with end-stage kidney disease awaiting renal transplantation, thromboembolic events may significantly complicate and delay the transplantation process. In the period bridging the transplant, hemodialysis is often carried out using a hemodialysis catheter, which is susceptible...
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Elsevier
2025-09-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043325005072 |
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| author | Charlotte Wintergerst Katharina Vogt Michael Doppler Eric Peter Prager Wibke Uller Elif Can |
| author_facet | Charlotte Wintergerst Katharina Vogt Michael Doppler Eric Peter Prager Wibke Uller Elif Can |
| author_sort | Charlotte Wintergerst |
| collection | DOAJ |
| description | In multimorbid patients with end-stage kidney disease awaiting renal transplantation, thromboembolic events may significantly complicate and delay the transplantation process. In the period bridging the transplant, hemodialysis is often carried out using a hemodialysis catheter, which is susceptible to complications. We report a case of a 43-year-old woman with Anti-Neutrophil Cytoplasmic Antibodies negative vasculitis, awaiting an ABO-incompatible kidney transplant, and whose hemodialysis catheter required removal due to improper functioning. Computed tomography revealed the presence of a persistent dislodged fragment of the hemodialysis catheter, accompanied by thrombus formation in the superior vena cava and internal jugular vein. We successfully performed endovascular, minimally invasive thrombectomy via right basilic vein access, removing thrombus and dislodged catheter fragments from the superior vena cava. We then reimplanted a new tunneled hemodialysis catheter. This case underscores the feasibility and clinical benefits of targeted interventional techniques in managing complex complications in patients with end-stage kidney disease. |
| format | Article |
| id | doaj-art-e893dbde00f247fcb3631e478e0c4389 |
| institution | Kabale University |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-e893dbde00f247fcb3631e478e0c43892025-08-20T03:34:17ZengElsevierRadiology Case Reports1930-04332025-09-012094464446810.1016/j.radcr.2025.05.075Successful endovascular thrombectomy of a dislodged hemodialysis catheter fragment and thrombus from the superior vena cava via the basilic vein: A case reportCharlotte Wintergerst0Katharina Vogt1Michael Doppler2Eric Peter Prager3Wibke Uller4Elif Can5Department of Diagnostic and Interventional Radiology, Faculty of Medicine, Medical Center University of Freiburg, University of Freiburg, Freiburg, Germany; Corresponding author.Department of Diagnostic and Interventional Radiology, Faculty of Medicine, Medical Center University of Freiburg, University of Freiburg, Freiburg, GermanyDepartment of Diagnostic and Interventional Radiology, Faculty of Medicine, Medical Center University of Freiburg, University of Freiburg, Freiburg, GermanyDepartment of Nephrology, Faculty of Medicine, Medical Center University of Freiburg, University of Freiburg, Freiburg, GermanyDepartment of Diagnostic and Interventional Radiology, Faculty of Medicine, Medical Center University of Freiburg, University of Freiburg, Freiburg, GermanyDepartment of Diagnostic and Interventional Radiology, Faculty of Medicine, Medical Center University of Freiburg, University of Freiburg, Freiburg, GermanyIn multimorbid patients with end-stage kidney disease awaiting renal transplantation, thromboembolic events may significantly complicate and delay the transplantation process. In the period bridging the transplant, hemodialysis is often carried out using a hemodialysis catheter, which is susceptible to complications. We report a case of a 43-year-old woman with Anti-Neutrophil Cytoplasmic Antibodies negative vasculitis, awaiting an ABO-incompatible kidney transplant, and whose hemodialysis catheter required removal due to improper functioning. Computed tomography revealed the presence of a persistent dislodged fragment of the hemodialysis catheter, accompanied by thrombus formation in the superior vena cava and internal jugular vein. We successfully performed endovascular, minimally invasive thrombectomy via right basilic vein access, removing thrombus and dislodged catheter fragments from the superior vena cava. We then reimplanted a new tunneled hemodialysis catheter. This case underscores the feasibility and clinical benefits of targeted interventional techniques in managing complex complications in patients with end-stage kidney disease.http://www.sciencedirect.com/science/article/pii/S1930043325005072ABO-incompatible kidney transplantationThrombectomyTunneled hemodialysis catheterDialysisInterventional radiology |
| spellingShingle | Charlotte Wintergerst Katharina Vogt Michael Doppler Eric Peter Prager Wibke Uller Elif Can Successful endovascular thrombectomy of a dislodged hemodialysis catheter fragment and thrombus from the superior vena cava via the basilic vein: A case report Radiology Case Reports ABO-incompatible kidney transplantation Thrombectomy Tunneled hemodialysis catheter Dialysis Interventional radiology |
| title | Successful endovascular thrombectomy of a dislodged hemodialysis catheter fragment and thrombus from the superior vena cava via the basilic vein: A case report |
| title_full | Successful endovascular thrombectomy of a dislodged hemodialysis catheter fragment and thrombus from the superior vena cava via the basilic vein: A case report |
| title_fullStr | Successful endovascular thrombectomy of a dislodged hemodialysis catheter fragment and thrombus from the superior vena cava via the basilic vein: A case report |
| title_full_unstemmed | Successful endovascular thrombectomy of a dislodged hemodialysis catheter fragment and thrombus from the superior vena cava via the basilic vein: A case report |
| title_short | Successful endovascular thrombectomy of a dislodged hemodialysis catheter fragment and thrombus from the superior vena cava via the basilic vein: A case report |
| title_sort | successful endovascular thrombectomy of a dislodged hemodialysis catheter fragment and thrombus from the superior vena cava via the basilic vein a case report |
| topic | ABO-incompatible kidney transplantation Thrombectomy Tunneled hemodialysis catheter Dialysis Interventional radiology |
| url | http://www.sciencedirect.com/science/article/pii/S1930043325005072 |
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