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Three-Dimensional Imaging of a Central Venous Dialysis Catheter Related Infected Thrombus

Diana Yuan Yng Chiu1, Darren Green1, Philip A Kalra1

  • 1Vascular Research Group, Institute of Population Health, The University of Manchester, Manchester Academic Health Sciences Centre, Manchester M13 9PL, UK ; Department of Renal Medicine, Salford Royal NHS Foundation Trust, Stott Lane, Salford M6 8HD, UK.

Case Reports in Nephrology
|December 22, 2015
PubMed

Three-dimensional (3D) echocardiography is becoming widely available and with novel applications. We report an interesting case of a 68-year-old lady with a central venous thrombosis coincident with both a dialysis catheter infection and a recent pacemaker insertion. Two-dimensional transesophageal echocardiography was unable to delineate whether the thrombosis was involved with the pacemaker wire or due to the tunneled catheter infection. The use of 3D echocardiography was able to produce distinct images aiding diagnosis. This circumvented the need for invasive investigations and inappropriate, high-risk removal of the pacing wire. This case highlights the emerging application of 3D echocardiography in routine nephrology practice.

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