Calcified Catheter-Related Fibrin Sheath Forms Large Intravenous Cast In Hemodialysis Patient Causing Embolic Sequalae: A Case Report

Autor: Justin Newman, Shahriyour Andaz, Joshua Melamed, Chava Blivaiss, Vanessa R. Gibson
Rok vydání: 2021
Předmět:
Popis: Background: Catheter related sheath (CRS) formation secondary to chronic indwelling central venous catheters (CVC) is a well-documented complication. When these fibrin sheaths calcify, they can form a “cast” surrounding the catheter. Upon removal of the CVC a rare complication can occur where the calcified sheath remains in-situ leaving behind an intraluminal catheter-shaped cast. Case Presentation: We present the case of a 57-year-old dialysis dependent woman found to have a right internal jugular vein cast during the evaluation and treatment of methicillin resistant staphylococcus aureus (MRSA) bacteremia. Conclusions: This case reviews and discusses the embolic complications suspected to be a result of this cast. Our case provides insight into the clinical course, diagnostic methods, and imaging identification of a rare pathology and its unique complications.
Databáze: OpenAIRE