Renal Tx in Jan 2016, Allograft working well with serum creat at 1.5 mg/dl. Now has a thrombosed HeRO. What would be an ideal treatment option to avoid risk of infective endocarditis/ bacteremia?
A) Do nothing
B) Remove the catheter portion and leave the graft intact
C) Remove the entire HeRO device
Would having information on the presence or absence of underlying central venous stenosis alter the management? Unfortunately, I have no way to get that information.