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Hemodiyaliz Hastasında Kateter İlişkili İntraatrial Enfekte Trombus

Yıl 2017, Cilt: 12 Sayı: 2, 31 - 33, 10.10.2017
https://doi.org/10.17517/ksutfd.341114

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.

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
  • Zieren J, Thul P, Romaniuk P, Muller JM. Intravascular disruption of central venous ports. Clin Nutr 1998;17:89-91
  • Mazel JW, Idenburg FJ, Van Delden OM. Catheter fracture and embolization: A rare complication of a permanent implanted intravenous catheter system. Ned Tijdschr Geneeskd 2000;144:1360-3.
  • Marie O, Leverger G, Douard MC, et al. Intravascular migration of fragments of central venous catheters. 3 cases. Presse Med 1986;15:1270-2.
  • Oğuz D, Öcal B, Karademir S, Demirel N, Şenocak F. Çocuklarda Kardiyak Trombüs: 10 Olguluk Seri Bulguları. İç Hastalıkları Dergisi 1999; 6: 299-302. Çocuklarda Kardiyak Trombüs: 10 Olguluk Seri Bulguları. İç Hastlıkları Dergisi 1999; 6: 299-302

Catheter-Related Intraatrial Infected Thrombus in Hemodialysis Patient

Yıl 2017, Cilt: 12 Sayı: 2, 31 - 33, 10.10.2017
https://doi.org/10.17517/ksutfd.341114

Öz

Tunneled central venous catheters can be used in the patients with end-stage kidney disease (ESKD) who have vascular access difficulties. The catheter-related complications (malfunctions, infections, thrombosis) cause serious problems in these patients. Thrombosis of the catheter is more frequently seen than expected; however, it rarely becomes sympthomatic. In this case report, we presented a case with infected right atrial thrombus who is on hemodialysis treatment via tunneled central venous catheter.

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
  • Zieren J, Thul P, Romaniuk P, Muller JM. Intravascular disruption of central venous ports. Clin Nutr 1998;17:89-91
  • Mazel JW, Idenburg FJ, Van Delden OM. Catheter fracture and embolization: A rare complication of a permanent implanted intravenous catheter system. Ned Tijdschr Geneeskd 2000;144:1360-3.
  • Marie O, Leverger G, Douard MC, et al. Intravascular migration of fragments of central venous catheters. 3 cases. Presse Med 1986;15:1270-2.
  • Oğuz D, Öcal B, Karademir S, Demirel N, Şenocak F. Çocuklarda Kardiyak Trombüs: 10 Olguluk Seri Bulguları. İç Hastalıkları Dergisi 1999; 6: 299-302. Çocuklarda Kardiyak Trombüs: 10 Olguluk Seri Bulguları. İç Hastlıkları Dergisi 1999; 6: 299-302
Toplam 14 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Mehmet Kirişçi Bu kişi benim

Fatma Betül Güzel Bu kişi benim

Songül Işıktaş Bu kişi benim

Hakan Güneş Bu kişi benim

Aydemir Koçarslan Bu kişi benim

Selçuk Nazik Bu kişi benim

Ertuğrul Erken

Orçun Altunören

Özkan Güngör

Yayımlanma Tarihi 10 Ekim 2017
Gönderilme Tarihi 2 Ekim 2017
Kabul Tarihi 9 Ekim 2017
Yayımlandığı Sayı Yıl 2017 Cilt: 12 Sayı: 2

Kaynak Göster

AMA Kirişçi M, Güzel FB, Işıktaş S, Güneş H, Koçarslan A, Nazik S, Erken E, Altunören O, Güngör Ö. Hemodiyaliz Hastasında Kateter İlişkili İntraatrial Enfekte Trombus. KSÜ Tıp Fak Der. Temmuz 2017;12(2):31-33. doi:10.17517/ksutfd.341114