Recurrent Septic Pulmonary Embolization Complicating Maintenance Hemodialysis

Goodwin, Norma J.; Castronuovo, J. J.; Friedman, Eli A.

doi:10.7326/0003-4819-71-1-29

Cited by 30 publications

(6 citation statements)

References 19 publications

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“…Most reports of venous embolic disease in ESRD patients have described events related to HD vascular access, such as emboli arising from thrombosed or infected AV accesses (127)(128)(129)(130)(131)(132)(133)(134)(135)(136). Several studies have evaluated the risk of PE following percutaneous repair of thrombosed AV grafts (137)(138)(139)(140).…”

Section: Hd Vascular Access-associated Thromboembolic Diseasementioning

confidence: 99%

Thrombosis in End‐Stage Renal Disease

Casserly

Dember

2003

Seminars in Dialysis

146

122

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Although renal failure has classically been associated with a bleeding tendency, thrombotic events are common among patients with end-stage renal disease (ESRD). A variety of thrombosis-favoring hematologic alterations have been demonstrated in these patients. In addition, "nontraditional" risk factors for thrombosis, such as hyperhomocysteinemia, endothelial dysfunction, inflammation, and malnutrition, are present in a significant proportion of chronic dialysis patients. Hemodialysis (HD) vascular access thrombosis, ischemic heart disease, and renal allograft thrombosis are well-recognized complications in these patients. Deep venous thrombosis and pulmonary embolism are viewed as rare in chronic dialysis patients, but recent studies suggest that this perception should be reconsidered. Several ESRD treatment factors such as recombinant erythropoietin (EPO) administration, dialyzer bioincompatibility, and calcineurin inhibitor administration may have prothrombotic effects. In this article we review the pathogenesis and clinical manifestations of thrombosis in ESRD and evaluate the evidence that chronic renal failure or its management predisposes to thrombotic events.

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Section: Hd Vascular Access-associated Thromboembolic Diseasementioning

confidence: 99%

Thrombosis in End‐Stage Renal Disease

Casserly

Dember

2003

Seminars in Dialysis

146

122

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“…CRBSI occurs at the frequency of 0.9 to 2.0 episodes/ patient-year among HD population.Ten persent of whom would be hospitalized with sepsis or metastatic infection (such as septic thrombosis, endocarditis and septic arthritis) [2]. Although CRBSI is very common, catheter-related SPE is unusual, more so in the absence of endocarditis or infected right atrial thrombus [3][4][5][6][7][8][9][10][11].…”

Section: Discussionmentioning

confidence: 99%

“…With an increasing pandemic of end-stage kidney disease and an increased use of hemodialysis catheters, there can be an expected rise in infectious complications including catheter-related bloodstream infections (CRBSI) among end-stage kidney disease (ESKD) patient population [2]. Although CRBSI is common, catheter-related septic pulmonary emboli (SPE) is unusual especially without endocarditis or infected right atrial thrombus [3][4][5][6][7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Hemodialysis-Catheter Related Septic Pulmonary Emboli in the Absence of Endocarditis or Right Atrial Thrombus

Dahal

2013

J Med Cases

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Catheter-related bloodstream infection, although a major cause of morbidity and mortality in hemodialysis population, is rarely associated with septic pulmonary emboli (SPE). SPE is generally associated with endocarditis or right atrial thrombus. We describe a case of a young man on hemodialysis with fever, who was subsequently diagnosed to have SPE in the absence of endocarditis or right atrial thrombus.

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“…Ή χρήσις φλεβικών ελευθέρων μοσχευμάτων εκ τής μείζονος σαφηνοϋς, ώς και ή άναστόμωσις ταύτης μετά τής έπιπολής μηριαίας αρτηρίας, εκτός του επιπόνου τής χειρουργικής επεμβάσεως παρουσιάζει κατά τους συγγραφείς και μέγα ποσοστόν αποτυχίας εκ θρομβώσεων και έπιγενών λοιμώξεων. 27 Τέλος ή χρήσις συρραπτικών μηχανών δια τέλικο-τελικήν άρτηριο φλεβικήν άναστόμωσιν προσφέρει καλά αποτελέσματα, κατά τους συγγρα φείς, διότι χρησιμοποιούν μεταλλικούς δακτυλίους διαμέτρου 3-4 χιλ. καί θεωρούν τούτο πλεονέκτημα τής μεθόδου, ώς επιτυγχάνοντες σταθερόν εύ ρος άναστομώσεως, αναγκάζονται όμως, όπως εμφυτεύσουν υποδορίως ξέ νον μεταλλικόν σώμα με όλα τα πιθανά επακόλουθα 45 • 47 .…”

Section: ;unclassified

Συμβολη Εις Την Τεχνικην Των Αρτηριοφλεβικων Συριγγιων.

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Recurrent Septic Pulmonary Embolization Complicating Maintenance Hemodialysis

Cited by 30 publications

References 19 publications

Thrombosis in End‐Stage Renal Disease

Thrombosis in End‐Stage Renal Disease

Hemodialysis-Catheter Related Septic Pulmonary Emboli in the Absence of Endocarditis or Right Atrial Thrombus

Συμβολη Εις Την Τεχνικην Των Αρτηριοφλεβικων Συριγγιων.

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