How would you manage an incidental catheter-related thrombosis in a functioning dialysis catheter?
- Dialysis catheter used for hemodialysis - RIJ thrombus in dialysis catheter was incidentally found - Patient asymptomatic with no prior history of VTE or cancer
Answer from: at Community Practice
If the patient is asymptomatic and the catheter is functioning well, I recommend starting anticoagulation.If the patient develops symptoms, he or she should still be anticoagulated but the catheter removed. Anticoagulation options in ESRD patients include Coumadin, Eliquis (my preference is a d...
Comments
Medical Oncologist at Locum Tenens I agree. I would also forgo the "induction" dose o...
I agree that if safe and there are no contraindications to anticoagulation, that anticoagulation should be started. It is important to note that dialysis patients have an inherently higher risk of bleeding compared to the usual population, so the risks and benefits of anticoagulation should be weigh...
I agree. I would also forgo the "induction" dose o...