Hemodialysis catheter - related thrombosis of the internal jugular vein in an elderly diabetic woman: a case report and review of literature
Internal jugular vein (IJV) catheters are commonly used as vascular access for hemodialysis (HD) patients. They may have certain drawbacks, including infections and thrombotic complications, some of which could be life-threatening. We presented a 75 year old diabetic woman on maintenance dialysis wh...
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doaj-de7efcde653348a6a5db6ab0c09bf40d2020-12-21T13:00:33ZengPAMJPAMJ Clinical Medicine 2707-27972707-27972020-08-01316810.11604/pamj-cm.2020.3.168.2479424794Hemodialysis catheter - related thrombosis of the internal jugular vein in an elderly diabetic woman: a case report and review of literatureOghenekaro Godwin Egbi0Sulaiman Dazumi Ahmed1 Nephrology Unit, Department of Medicine, Niger Delta University Teaching Hospital, Okolobiri, Bayelsa State, Nigeria Department of Internal Medicine, Irrua Specialist Teaching Hospital, Edo State, Nigeria Internal jugular vein (IJV) catheters are commonly used as vascular access for hemodialysis (HD) patients. They may have certain drawbacks, including infections and thrombotic complications, some of which could be life-threatening. We presented a 75 year old diabetic woman on maintenance dialysis who developed right sided neck and facial swelling. She had been receiving HD via a tunneled jugular venous catheter inserted on the same side 4 months prior. A Doppler ultrasound and CT angiography revealed a thrombus in the right IJV. She was managed conservatively with anticoagulants including heparin, warfarin and apixapan with resolution of symptoms. If diagnosed promptly, catheter related thrombosis can be managed with good outcome. However, to reduce the incidence of thrombotic complications in chronic HD patients, arteriovenous fistula (AVF) should be preferably used. https://www.clinical-medicine.panafrican-med-journal.com/content/article/3/168/pdf/168.pdf catheterhemodialysisinternal jugular veinthrombosis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Oghenekaro Godwin Egbi Sulaiman Dazumi Ahmed |
spellingShingle |
Oghenekaro Godwin Egbi Sulaiman Dazumi Ahmed Hemodialysis catheter - related thrombosis of the internal jugular vein in an elderly diabetic woman: a case report and review of literature PAMJ Clinical Medicine catheter hemodialysis internal jugular vein thrombosis |
author_facet |
Oghenekaro Godwin Egbi Sulaiman Dazumi Ahmed |
author_sort |
Oghenekaro Godwin Egbi |
title |
Hemodialysis catheter - related thrombosis of the internal jugular vein in an elderly diabetic woman: a case report and review of literature |
title_short |
Hemodialysis catheter - related thrombosis of the internal jugular vein in an elderly diabetic woman: a case report and review of literature |
title_full |
Hemodialysis catheter - related thrombosis of the internal jugular vein in an elderly diabetic woman: a case report and review of literature |
title_fullStr |
Hemodialysis catheter - related thrombosis of the internal jugular vein in an elderly diabetic woman: a case report and review of literature |
title_full_unstemmed |
Hemodialysis catheter - related thrombosis of the internal jugular vein in an elderly diabetic woman: a case report and review of literature |
title_sort |
hemodialysis catheter - related thrombosis of the internal jugular vein in an elderly diabetic woman: a case report and review of literature |
publisher |
PAMJ |
series |
PAMJ Clinical Medicine |
issn |
2707-2797 2707-2797 |
publishDate |
2020-08-01 |
description |
Internal jugular vein (IJV) catheters are commonly used as vascular access for hemodialysis (HD) patients. They may have certain drawbacks, including infections and thrombotic complications, some of which could be life-threatening. We presented a 75 year old diabetic woman on maintenance dialysis who developed right sided neck and facial swelling. She had been receiving HD via a tunneled jugular venous catheter inserted on the same side 4 months prior. A Doppler ultrasound and CT angiography revealed a thrombus in the right IJV. She was managed conservatively with anticoagulants including heparin, warfarin and apixapan with resolution of symptoms. If diagnosed promptly, catheter related thrombosis can be managed with good outcome. However, to reduce the incidence of thrombotic complications in chronic HD patients, arteriovenous fistula (AVF) should be preferably used. |
topic |
catheter hemodialysis internal jugular vein thrombosis |
url |
https://www.clinical-medicine.panafrican-med-journal.com/content/article/3/168/pdf/168.pdf
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work_keys_str_mv |
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