How would you manage an incidental catheter-related thrombosis in a functioning dialysis catheter?

Topics: Medical Oncology • Thrombosis • Hematology • Benign Hematology • Hemostasis/Thrombosis

- 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: Medical Oncologist 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 Tower Health Medical Group
I agree. I would also forgo the "induction" dose o...

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