Cirugía a corazón abierto para el tratamiento de trombo auricular derecho relacionado con cateterización venosa central

• Type: Article in International Scientific Journal
• Date: 2018

Authors

Ribeiro, A (Author) Other; Neto, I (Author) Other; Maia, I (Author) Other; dias, c (Author) FMUP

Journal

The Journal is awaiting validation by the Administrative Services.

Title: Revista Espanola de Anestesiologia y Reanimacion

Vol. 65

Pages: 398-402

ISSN: 00349356

Publisher: Elsevier B.V.

Indexing

ISI Web of Knowledge - 1 Citation

Scopus - 1 Citation

Other information

Authenticus ID: P-00T-GYD

DOI: 10.1016/j.redar.2018.01.009

Abstract (EN): Central venous catheters are widely used in critically ill patients; however, they are also associated with increased morbidity and mortality. The literature may underestimate the incidence of catheter-inducible right atrial thrombi that are asymptomatic but potentially life threatening. The recognized risk factors for its development include infections related to the catheter, endothelial injury secondary to mechanical and chemical damage induced by certain medications and infused fluids. The characteristics of the patient and the catheter, such as size, material, type, location and ease of insertion, as well as the duration of placement play an additional role. We report the case of a 38-year-old man, who developed an asymptomatic catheter-inducible right atrial thrombi requiring open heart surgery, after taking a central venous catheter for thirty-five days. The present case highlights existing limitations in making a correct and fast diagnosis, which should be anticipated in patients with multiple risk factors for thrombosis. Given the limited recommendations available, we consider that the most appropriate strategy should be individualized.

Language: English

Type (Professor's evaluation): Dissemination

No. of pages: 5