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Background <p>Central venous access catheter (CVC) devices are a critical part of care in patients with a variety of treatment needs but are not without complications.</p> Case presentation <p>A 5-year-old male child with a background of autosomal recessive nephrotic syndrome developed a septic right atrial thrombus related to his dialysis line. Mechanical thrombectomy and line removal was complicated by tract haemorrhage, requiring the integrated management of thrombosis and haemorrhage. Haemostasis was achieved with combination of compression and sealing of the subcutaneous tract.</p> Conclusion <p>This case provides an excellent example of tract haemorrhage demonstrated fluoroscopically. We discuss the available treatment options, which may need to be employed in urgent or emergent fashion, in paediatric patients with differing physiological reserves.</p>

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Tunnelled dialysis catheter tract haemorrhage during mechanical thrombectomy of right atrial line-associated thrombus and line removal: a case report

  • 期刊论文

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  • 发表日期：

    2025年10月28日

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  • Ivan Jobling,
  • Johnny O’Mahony,
  • Benedict Thomson,
  • Nick Ware,
  • Narayan Karunanithy,
  • Narayanan Thulasidasan,
  • Athanasios Diamantopoulos

摘要

Background

Central venous access catheter (CVC) devices are a critical part of care in patients with a variety of treatment needs but are not without complications.

Case presentation

A 5-year-old male child with a background of autosomal recessive nephrotic syndrome developed a septic right atrial thrombus related to his dialysis line. Mechanical thrombectomy and line removal was complicated by tract haemorrhage, requiring the integrated management of thrombosis and haemorrhage. Haemostasis was achieved with combination of compression and sealing of the subcutaneous tract.

Conclusion

This case provides an excellent example of tract haemorrhage demonstrated fluoroscopically. We discuss the available treatment options, which may need to be employed in urgent or emergent fashion, in paediatric patients with differing physiological reserves.