Presentation
Unable to aspirate blood from right internal jugular central venous line.
Patient Data
Age: 40 years
Gender: Female
From the case:
Central venous catheter-related thrombosis
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The right internal jugular vein (IJV) shows normal flow distal to the central line. There is an inhomogeneous thrombus adhering to the central line partially occluding the IJV.
There is normal flow in the carotid arteries.
From the case:
Central venous catheter-related thrombosis
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The appearance of the thrombus is better appreciated in the cine loops.
Case Discussion
CVC-related thrombosis is a relatively common complication that remains incomplete and therefore asymptomatic in most cases. The local injury of the endothelial wall, the disturbance of blood flow, and the catheter surface all predispose to thrombus formation.
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