Silent and dangerous: catheter-associated right atrial thrombus (CRAT) in children on chronic haemodialysis.

ABSTRACT:

Background

Catheter-associated right atrial thrombus (CRAT) is a recognised complication of central venous catheter (CVC) use for haemodialysis (HD) patients.

Methods

This was a single-centre retrospective longitudinal observational study of consecutive children aged 6 months-18 years over a 7-year period receiving in-centre chronic HD. Echocardiograms as per routine cardiac surveillance were performed 6 months or earlier given clinical concerns.

Results

Sixty-five children, 36 boys (55.4%), median (IQR) age 11.8 (5.3, 14.7) years, received HD for kidney failure with replacement therapy (KFRT). Initial modality was HD in 45 (69.2%), with CVC as initial access in 42 (93.3%) and AVF in 3 (6.7%); in the remaining 20 (30.8%) patients PD was the initial modality before swi

SUBMITTER: Garcia-Nicoletti M 

PROVIDER: S-EPMC8009777 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature