Hemodiyaliz Hastasında Kateter İlişkili İntraatrial Enfekte Trombus
Öz
Son dönem böbrek yetmezlikli(SDBY) hastalarda damar yolu problemi geliştiğinde kalıcı kateterler kullanılabilmektedir. Bu hastalarda kateter ilişkili sorunlar (çalışmama, enfeksiyon, tromboz) büyük bir problem olarak karşımıza çıkmaktadır. Trombus aslında sanıldığından daha sık görülmektedir ancak nadiren semptom vermektedir. Burada kalıcı hemodiyaliz kateteri ile diyaliz tedavisi gören hastada tesbit edilen sağ atrial enfekte trombus olgusu sunulmuştur.
Anahtar Kelimeler
Kaynakça
- Seelig SK, Klingler PJ, Waldenberger P. Spontaneous rupture and embolization: A rare complication after port catheter implantation. Dtsch Med Wochenschr 2000;125:628-32.
- Korones DN, Buzzard CJ, Asselin BL, Harris JP. Right atrial thrombi in children with cancer and indwelling catheters. J Pediatr 1996; 128:841-846.
- Bai W, Li H, Zhang Q, Rao L. Assessment right atrial thrombus by real-time three dimensional transthoracic echocardiography in patient with dilated cardiomyopathy. Cardiovasc Ultrasound 2011; 10: 9-12.
- Marianna Fabia, Valentina Gesuetea, c, Gabriella Testaa, Anna Balduccia,. Fernando Maria. Calcified Thrombus in Right Atrium: Rare but Treatable Complication of Long-term Indwelling Central Venous Catheter. Cardiology Research 2011; 2: 189-192.
- Timsit JF, Farkas JC, Boyer JM, et al: Central vein catheterrelated thrombosis in intensive care patients. Incidence, risks factors, and relationship with catheter-related sepsis. Chest 1998;114:207-13.
- McGee DC, Gould MK: Preventing complications of central venous catheterization. N Eng J Med 2003;348:1123-33.
- Kuter DJ. Thrombotic complications of central venous catheters in cancer patients. The Oncologist 2004;9:207-16.
- Krafte-Jacobs B, Sivit CJ, Mejia R, Pollack MM. Catheterrelated thrombosis in critically ill children: Comparison of catheters with and without heparin bonding. J Pediatr 1995;126:50-4.
- Karapınar B, Cura A. Complications of central venous catheterization in critically ill children. Pediatr Int 2007; 49: 593-9.
- Çıtak A, Karaböcüoğlu M, Üçsel R, et al. Central venous catheters in pediatric patients - subclavian venous approach as the first choice. Pediatr Int 2002; 44: 83-6