Thermoregulatory central venous catheter-associated thrombus – echocardiographic detection and novel approach to management. (February 2015)

• Record Type: Journal Article
• Authors: Gillon, Stuart; Ammar, Thoraya; Adlam, Michael; Pahl, Clemens
• Is Part Of: Journal of the Intensive Care Society. Volume 16:Number 1(2015:Feb.)
• Page Start: 71
• Page End: 74
• Publication Date: 2015-02
• Subjects: Central venous catheters -- intracranial haemorrhage -- venous thrombosis -- echocardiography; Critical care medicine -- Periodicals; Intensive care units -- Periodicals; 616.028
• DOI: 10.1177/1751143714551251
• Languages: English
• ISSNs: 1751-1437

Abstract

An extensive caval thrombus was incidentally detected in a neurosurgical patient by clinician-delivered critical care echocardiography. Recent intracranial haemorrhage prevented therapeutic anticoagulation; the very proximal nature of the thrombus precluded standard deployment of an inferior vena cava filter. We describe the novel radiological technique employed to manage the thrombus, and examine whether a thermoregulatory central venous catheter inserted as part of standard neuro-critical care may have contributed to the risk and extent of the caval thrombus.