Budd-Chiari syndrome secondary to catheter-associated inferior vena cava
            thrombosis

Araújo, Gustavo Neves de; Restelatto, Luciane Maria Fabian; Prompt, Carlos Alberto; Karohl, Cristina

doi:10.5935/0101-2800.20170016

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…Patients with end stage kidney disease (ESKD) are at increased risk of venous thrombosis due to high levels of fibrinogen that directly contribute to a hypercoagulable state. 7 However, most of the reported cases of BCS related to CVC had a supplementary risk factor for thrombosis: malignancy, infections, autoimmune diseases (Table 1). In line, our patient was diagnosed with ANCA associated vasculitis (AAV), and thrombosis is a recognized and significant complication, particularly during active disease.…”

Section: Discussionmentioning

confidence: 99%

Budd-Chiari syndrome: An unusual complication of an internal jugular tunneled dialysis catheter

et al. 2021

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Budd-Chiari syndrome due to the tip of an internal jugular tunneled dialysis catheter malposition in inferior vena cava or hepatic vein is a rare complication. We aimed to present our experience and compare it with the previous reports to highlight the clinical features and the optimal management. A 57-year-old female with history of ANCAp vasculitis, treated by hemodialysis in the last 2 years on a right internal jugular vein tunneled catheter was admitted for pain in the right upper quadrant. A subacute Budd-Chiari syndrome due to catheter malposition was diagnosed. The catheter was removed, and a new tunneled hemodialysis line was inserted in the right internal jugular vein with the tip at the junction of right atrium with superior vena cava. Anticoagulation with apixaban 2.5 mg twice daily was started after catheter replacement and the patient was discharged. At 1 month follow-up the patient had no symptoms, and the ultrasound revealed the absence of the thrombus in the inferior vena cava. Imagining monitoring for malposition after insertion or in a clinical context suggestive for Budd-Chiari syndrome is essential for early diagnosis and treatment. In our case, anticoagulation with apixaban and prompt catheter replacement resulted in Budd-Chiari syndrome resolution.

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Section: Discussionmentioning

confidence: 99%

Budd-Chiari syndrome: An unusual complication of an internal jugular tunneled dialysis catheter

et al. 2021

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“…The latter location is particularly dangerous since it is associated with a very high thrombotic risk. 34,35 The most appropriate intra-procedural method of ultrasound-based verification of the presence of the tip in the ideal portion of the IVC (above the iliac veins and below the renal veins) is still to be defined. Intraprocedural and post-procedural radiological methods of tip location (fluoroscopy and x-ray of the abdomen) may be useful though they are not accurate, as they are based on relatively uncertain radiological landmarks.…”

Section: Intra-procedural Assessment Of Tip Locationmentioning

confidence: 99%

The SIF protocol: A seven-step strategy to minimize complications potentially related to the insertion of femorally inserted central catheters

et al. 2021

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The insertion of central venous catheters through the femoral veins is not uncommon and is potentially associated with the risk of immediate puncture-related complications and severe late complications as infection and thrombosis. As for other central venous access devices, the use of a standardized protocol of insertion and the correct application of evidence-based strategies are beneficial in reducing the risk of complications. We proposed a standardized protocol (S.I.F.: Safe Insertion of Femorally Inserted Central Catheters) consisting of seven strategies that should be part of vascular cannulation and should be adopted during the insertion of femoral venous catheters, aiming to minimize immediate, early and late insertion-related complications. These strategies include: preprocedural evaluation of the patient history and of the veins, appropriate aseptic technique, ultrasound guided puncture and cannulation of the vein, intra-procedural assessment of the tip position, adequate protection of the exit site, proper securement of the catheter, and appropriate coverage of the exit site.

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Budd-Chiari syndrome secondary to catheter-associated inferior vena cava thrombosis

Cited by 2 publications

References 9 publications

Budd-Chiari syndrome: An unusual complication of an internal jugular tunneled dialysis catheter

Budd-Chiari syndrome: An unusual complication of an internal jugular tunneled dialysis catheter

The SIF protocol: A seven-step strategy to minimize complications potentially related to the insertion of femorally inserted central catheters

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