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follow up of pericatheter thrombus after 4 weeks of oral anticoagulation

Posted By venkatesh rajkumar, Monday, April 3, 2017
Updated: Monday, April 3, 2017
https://www.youtube.com/watch?v=Nv8ZFr6Kun8

This is the follow up of my previous post dated feb 27th . The patient here had a pericatheter(temporory diaysis catheter) thrombus in the SVC preventing tunelled catheter insertion and creation of an AVF. Due mainly to financial restraints we could not thrombolyse him. I had removed the catheter and started him on Acitrom after UFH loading and we maintained an INR between 2 and 3. Lucky for him he was not much symptomatic despite a creatinine of 7mg% and hence we had withheld dialysis for the time being. The picture and the video i have enclosed is after 4 weeks of oral anticoagulation.The initial image is enclosed too for reference. Looks like the thrombus burden is reduced and organized. An AVF is being created...any thoughts?? sorry for the rotated image.

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Tags:  pericatheter thrombus  svc thrombus 

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