PMID: 9925007Jan 30, 1999Paper

Internal jugular vein haemodialysis catheter-induced right atrium endocarditis--case report and review of the literature

Scandinavian Journal of Urology and Nephrology
D C Tarng, T P Huang

Abstract

We present a case of right-sided endocarditis as a life-threatening complication of having a jugular vein haemodialysis catheter inadvertently placed in the right atrium. The mechanisms of direct traumatization of the endocardium by the catheter tip and continuous inoculation of bacteria onto the endocardial surface make dual lumen catheter-induced endocarditis similar to the pathophysiology of experimental endocarditis in animals. Therefore, the catheter tip should be placed in the distal superior vena cava during cannulation. Once endocarditis is present, removal of catheters and a 4-6-week course of intravenous antibiotics guided by the sensitivity test are recommended.

References

Dec 1, 1973·Kidney International·A LeonardF L Shapiro
Apr 17, 1969·The New England Journal of Medicine·J S GoodmanM G Koenig
May 1, 1996·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·M Jadoul

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Citations

Oct 20, 2005·The American Journal of the Medical Sciences·Seymour RibotChunguang Chen
Jul 4, 2003·Seminars in Dialysis·Donald Schon, David Whittman
Mar 23, 2006·Seminars in Dialysis·Michael BrucculeriJhoong Cheigh
Nov 27, 2007·The Annals of Thoracic Surgery·Roman GottardiRainald Seitelberger
Oct 28, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A BagulM L Nicholson
Feb 20, 2002·Seminars in Dialysis·J Work

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