Work

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

Year: 2025

Type: article

Abstract: 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.

Source: CVIR Endovascular

DOI: 10.1186/s42155-025-00610-6