title: Three-Dimensional Imaging of a Central Venous Dialysis Catheter Related Infected Thrombus.
abstract: Three-dimensional (3D) echocardiography is becoming widely available and with novel applications. We report an interesting case of a 68-year-old lady with a central venous thrombosis coincident with both a dialysis catheter infection and a recent pacemaker insertion. Two-dimensional transesophageal echocardiography was unable to delineate whether the thrombosis was involved with the pacemaker wire or due to the tunneled catheter infection. The use of 3D echocardiography was able to produce distinct images aiding diagnosis. This circumvented the need for invasive investigations and inappropriate, high-risk removal of the pacing wire. This case highlights the emerging application of 3D echocardiography in routine nephrology practice.
authors.affiliation: Vascular Research Group, Institute of Population Health, The University of Manchester, Manchester Academic Health Sciences Centre, Manchester M13 9PL, UK ; Department of Renal Medicine, Salford Royal NHS Foundation Trust, Stott Lane, Salford M6 8HD, UK.
authors.forename: Diana Yuan Yng
authors.initials: DY
authors.lastname: Chiu
authors.affiliation: Vascular Research Group, Institute of Population Health, The University of Manchester, Manchester Academic Health Sciences Centre, Manchester M13 9PL, UK ; Department of Renal Medicine, Salford Royal NHS Foundation Trust, Stott Lane, Salford M6 8HD, UK.
authors.forename: Darren
authors.initials: D
authors.lastname: Green
authors.affiliation: Vascular Research Group, Institute of Population Health, The University of Manchester, Manchester Academic Health Sciences Centre, Manchester M13 9PL, UK ; Department of Renal Medicine, Salford Royal NHS Foundation Trust, Stott Lane, Salford M6 8HD, UK.
authors.forename: Philip A
authors.initials: PA
authors.lastname: Kalra
authors.affiliation: Department of Cardiology, Salford Royal Hospital, Salford Royal NHS Foundation Trust, Stott Lane, Salford M6 8HD, UK.
authors.forename: Nik
authors.initials: N
authors.lastname: Abidin