Bilateral pulmonary emboli secondary to indwelling hemodialysis reliable outflow catheter

Kathryn E. Coan, Mark E. O'Donnell, Grant Fankhauser, Zachary Bodnar, Krishnaswamy Chandrasekaran, William M. Stone

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

We present a 33-year-old dialysis-dependent female who presented with new onset split second heart sound. Following a failed left upper extremity dialysis fistula, a right upper extremity hemodialysis reliable outflow (HeRO) graft was performed in 2011. Her subsequent cadaveric renal transplant had delayed function necessitating concurrent use of hemodialysis. However, as renal function improved, hemodialysis was discontinued. Two weeks following transplantation, the HeRO graft occluded. Subsequent clinical and radiological assessment confirmed widespread pulmonary emboli. Following cessation of hemodialysis and subsequent HeRO graft occlusion, removal was deemed appropriate to reduce further thromboembolic phenomenon. Right atrial thrombi are complications associated with central venous catheters. However, their actual incidence varies significantly. Right heart thromboemboli are associated with a 4% to 6% pulmonary embolism rate. Katzman et al assessed 38 patients who underwent HeRO graft and reported 1 (2.6%) patient with right atrial emboli and likely pulmonary embolism. Although thrombotic complications remain rare, consideration of graft removal should always be evaluated particularly in the absence of an alternative thrombotic source.

Original languageEnglish (US)
Pages (from-to)317-319
Number of pages3
JournalVascular and Endovascular Surgery
Volume47
Issue number4
DOIs
StatePublished - May 2013
Externally publishedYes

Fingerprint

Embolism
Renal Dialysis
Catheters
Lung
Transplants
Pulmonary Embolism
Upper Extremity
Dialysis
Heart Sounds
Kidney
Central Venous Catheters
Patient Rights
Fistula
Thrombosis
Transplantation
Incidence

Keywords

  • emboli
  • HeRO catheter
  • pulmonary
  • thrombosis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Bilateral pulmonary emboli secondary to indwelling hemodialysis reliable outflow catheter. / Coan, Kathryn E.; O'Donnell, Mark E.; Fankhauser, Grant; Bodnar, Zachary; Chandrasekaran, Krishnaswamy; Stone, William M.

In: Vascular and Endovascular Surgery, Vol. 47, No. 4, 05.2013, p. 317-319.

Research output: Contribution to journalArticle

Coan, Kathryn E. ; O'Donnell, Mark E. ; Fankhauser, Grant ; Bodnar, Zachary ; Chandrasekaran, Krishnaswamy ; Stone, William M. / Bilateral pulmonary emboli secondary to indwelling hemodialysis reliable outflow catheter. In: Vascular and Endovascular Surgery. 2013 ; Vol. 47, No. 4. pp. 317-319.
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