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논문 기본 정보

자료유형
학술저널
저자정보
Hyo Jung Son (Department of Anesthesiology and Pain Medicine National Police Hospital Seoul Korea) Han Byeol Oh (Department of Anesthesiology and Pain Medicine National Police Hospital Seoul Korea) Haesol Han (Department of Anesthesiology and Pain Medicine National Police Hospital Seoul Korea) Jae-Won Baik (Department of Anesthesiology and Pain Medicine Asan Medical Center Seoul Korea) Eun-Ho Lee (Department of Anesthesiology and Pain Medicine Asan Medical Center Seoul Korea)
저널정보
조선대학교 의학연구원 Medical Biological Science and Engineering Medical Biological Science and Engineering Vol.1 No.2
발행연도
2018.7
수록면
65 - 68 (4page)
DOI
10.30579/mbse.2018.1.2.65

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Catheter-related thrombosis (CRT) is a common complication of central venous catheter inserted into the internal jugular vein or subclavian vein. Most CRT is resolved with thrombolytic therapy without additional complications such as pulmonary embolism, deep vein thrombosis, or post-thrombotic syndrome. Unusually, we experienced asymptomatic CRT occurred in a patient undergoing anticoagulation therapy. Central venous catheter was inserted into the right subclavian vein and the patient received heparin therapy for treatment of myocardial infarction for 16 days before surgery. Thrombus was detected during ultrasonographic examination when placing additional central venous catheter with a Swan-Ganz catheter after induction of general anesthesia. The catheter with a thrombus was removed 5 hours after off pump coronary artery bypass surgery. Heparin therapy was started 24 hours after surgery and continued for three days owing to CRT. The patient received anticoagulation therapy including warfarin and aspirin consistently. He was discharged at 15 days after surgery.

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