Early onset of cooling catheter-related right atrial thrombus following cardiac arrest.

Jung, Yong Hun; Lee, Byung Kook; Lee, Hyoung Youn; Jeung, Kyung Woon
The American journal of emergency medicine
2013Apr ; 31 ( 4 ) :761.e3-5.
PMID : 23333626
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Jung, Yong Hun -
Lee, Byung Kook -
Lee, Hyoung Youn -
Jeung, Kyung Woon -
ABSTRACT
Catheter-related right atrial thrombus (RAT) is an uncommon life-threatening complication. Few cases of endovascular cooling catheter?related complications have been reported. We report the first case of endovascular cooling catheter?related RAT. A 17-year-old adolescent boy was treated with therapeutic hypothermia using an endovascular cooling catheter following ventricular fibrillation cardiac arrest. He became alert, but RAT was found 3 days after the placement of the cooling catheter. Anticoagulation with enoxaparin for 2 weeks completely resolved the RAT, and he was consequently treated with radiofrequency ablation and received an implanted cardiac defibrillator. This case report highlights the occurrence of endovascular cooling catheter?related RAT early after the placement of a catheter. Physicians should monitor whether RAT occurs during and following therapeutic hypothermia with a cooling catheter.
NA
MESH
Adolescent, Cardiac Catheterization/adverse effects, Cardiac Catheters/*adverse effects, Heart Arrest/etiology/*therapy, Heart Atria, Heart Diseases/*etiology/therapy, Humans, Hypothermia, Induced/instrumentation, Male, Thrombosis/*etiology/therapy, Ventricular Fibrillation/*complications/therapy
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Anticoagulation with enoxaparin for 2 weeks completely resolved the RAT, and he was consequently treated with radiofrequency ablation and received an implanted cardiac defibrillator.
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DOI
10.1016/j.ajem.2012.12.014
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ICD 03
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