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Ultrasonographically detected central venous catheter-related thrombosis in patient undergoing anticoagulation therapy during anesthetic induction
Med Biol Sci Eng 2018;1(2):65-68
Published online July 31, 2018
© 2018 Medical Biological Science and Engineering.

Hyo Jung Son1, Han Byeol Oh1, Haesol Han1, Jae-Won Baik2, Eun-Ho Lee2

1Department of Anesthesiology and Pain Medicine, National Police Hospital, 2Department of Anesthesiology and Pain Medicine, Asan Medical Center, Seoul, Korea
Correspondence to: Eun-Ho Lee
Department of Anesthesiology and Pain Medicine, Asan Medical Center, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea
Tel: +82-2-3010-3888
Fax: +82-2-470-1363
E-mail: leho@naver.com
ORCID: https://orcid.org/0000-0002-6369-7429
Received April 3, 2018; Revised May 10, 2018; Accepted May 11, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Catheter-related thrombosis (CRT) is a common complication of central venous catheter inserted into the internal jugular vein or subclavian vein. Most CRT is resolved with thrombolytic therapy without additional complications such as pulmonary embolism, deep vein thrombosis, or post-thrombotic syndrome. Unusually, we experienced asymptomatic CRT occurred in a patient undergoing anticoagulation therapy. Central venous catheter was inserted into the right subclavian vein and the patient received heparin therapy for treatment of myocardial infarction for 16 days before surgery. Thrombus was detected during ultrasonographic examination when placing additional central venous catheter with a Swan-Ganz catheter after induction of general anesthesia. The catheter with a thrombus was removed 5 hours after off pump coronary artery bypass surgery. Heparin therapy was started 24 hours after surgery and continued for three days owing to CRT. The patient received anticoagulation therapy including warfarin and aspirin consistently. He was discharged at 15 days after surgery.
Keywords : Anticoagulants; Central venous catheters; Thrombosis; Ultrasonography
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