Central venous catheter-related thrombosis

Case contributed by Dr Balint Botz

Presentation

Unable to aspirate blood from right internal jugular central venous line.

Patient Data

Age: 40 years
Gender: Female

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.

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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