title: Formation of a calcified "cast" in a long-term indwelling central venous catheter: a case report.
abstract: Catheter-related central venous thrombosis is a complication seen with long-term indwelling central venous catheters. The uses of total parenteral nutrition, catheter location, and duration of catheter use have been shown to increase the risk of thrombus formation. However, organized calcification of such a thrombus is a rare occurrence and, to our knowledge, has never been reported in a patient unexposed to total parenteral nutrition. We report a patient with an extensive, organized, calcified "cast" surrounding a central venous catheter used solely for chemotherapy administration.
authors.affiliation: Department of Surgery, New York-Presbyterian Hospital, Weill Medical College of Cornell University, New York, NY 10021, USA. duh2001@med.cornell.edu <duh2001@med.cornell.edu>
authors.forename: Duncan B
authors.initials: DB
authors.lastname: Hughes
authors.forename: Brant W
authors.initials: BW
authors.lastname: Ullery
authors.forename: Nitsana
authors.initials: N
authors.lastname: Spigland
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage; D002114:Calcinosis / Q000209:etiology*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002408:Catheters, Indwelling / Q000009:adverse effects; D002675:Child, Preschool; D020878:Device Removal; D005260:Female; D006801:Humans; D007601:Jugular Veins; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000188:drug therapy; D018805:Sepsis / Q000209:etiology; D014656:Vascular Surgical Procedures; D020246:Venous Thrombosis / Q000209:etiology* / Q000601:surgery