A retrospective experience of right atrial and superior vena caval thrombi diagnosed by transesophageal echocardiography.
Central venous catheter (CVC) thrombosis and infection has become a frequent finding in immunosuppressed and chronically ill medical patients, particularly those with end-stage renal disease. Transesophageal echocardiography (TEE), as the only reliable noninvasive method of imaging the superior vena cava (SVC) is appreciated to be very useful in the evaluation of these lesions. We retrospectively review our findings of TEE for this purpose, with regard to frequency of positive findings, patient characteristics, and microbiologic findings from SVC and right atrial thrombi and vegetations associated with CVCs.
Shapiro
Michael A
MA
Laboratory of Echocardiography, Rush Heart Institute, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois 60612, USA.
Johnson
Mahala
M
Feinstein
Steven B
SB
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002405:Catheterization, Central Venous / Q000009:adverse effects; D002641:Chicago; D003937:Diagnosis, Differential; D003956:Dialysis / Q000009:adverse effects / Q000295:instrumentation; D017548:Echocardiography, Transesophageal; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging* / Q000473:pathology*; D006331:Heart Diseases / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000209:etiology; D013479:Superior Vena Cava Syndrome / Q000175:diagnosis* / Q000209:etiology; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000473:pathology