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导管相关右房血栓导致的透析中房颤伴快速心室反应

Intradialytic Atrial Fibrillation With Rapid Ventricular Response From Catheter-related Right Atrial Thrombus.

作者信息

Shrestha Anish K, Gautham Sakthi, Rao Shiavax J, Al-Talib Khalid K, Padmanabhan Sriram

机构信息

Medicine, MedStar Health Internal Medicine Residency Program, Baltimore, MD, USA.

Nephrology, Maryland Kidney Group, MedStar Franklin Square Medical Center, Baltimore, MD, USA.

出版信息

J Community Hosp Intern Med Perspect. 2025 Jul 3;15(4):54-57. doi: 10.55729/2000-9666.1490. eCollection 2025.

Abstract

Right atrial thrombus is a rare complication of hemodialysis catheter with an incidence of <6 %. New-onset atrial fibrillation can be the first symptom of catheter-related right atrial thrombus (CRAT) in a patient with long-term dialysis catheter. Therefore, evaluation for CRAT is justified in such scenario. We highlight a case report where a new-onset atrial fibrillation led to the discovery of a right atrial thrombus in a patient with long-term dialysis catheter.

摘要

右心房血栓是血液透析导管罕见的并发症,发生率<6%。新发房颤可能是长期透析导管患者导管相关性右心房血栓(CRAT)的首发症状。因此,在这种情况下对CRAT进行评估是合理的。我们重点介绍一例病例报告,一名新发房颤患者因长期透析导管导致右心房血栓被发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a094/12315892/ccd3bd4a39d3/jchim-15-04-054f1.jpg

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