Asymptomatic catheter-related venous thrombosis in a child with cystic fibrosis: When to treat?

Asymptomatic catheter-related venous thrombosis in a child with cystic fibrosis: When to treat?
The use of central venous catheters (CVCs) in patients with cystic fibrosis is associated with an increased incidence of right atrial thrombosis. Practically, the management of CVC-related right atrial thrombosis presents a challenge as there are no clinical trials or systematic reviews in pediatric patients with cystic fibrosis. We describe a case of a 5-year-old child who presented with a CVC-related infection due to Candida parapsilosis. Echocardiogram revealed the presence of an incidental thrombus, measuring 1.4 cm × 0.4 cm, at the tip of the catheter, adherent to the right atrial wall and discrete from the tricuspid valve leaflets. ... read more
Source: Journal of Vascular NursingPublished on 2018-11-06