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Acute IJ thrombosis

Posted By Timothy A. Pflederer, Thursday, February 23, 2017

Recently I have had several patients with a fairly new catheter (1-2months old) who presented with fairly sudden onset of pain and redness extending up the neck over the internal jugular vein. they had no fever or infectious symptoms and the catheter was functioning well. The catheter tunnel and exit site were normal. We drew blood cultures and gave empiric antibiotics - and then the blood cultures returned negative. I think the symptoms are a result of thrombophlebitis because of the relatively acute thrombosis. The symptoms improve with 3-5 days of NSAID.

 

My question is whether anticoagulation is required or appropriate in this setting? Would you use Lovenox and/or Warfarin? For how long?

Thanks,

Tim Pflederer

Tags:  th  tunneled dialysis catheter 

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