Cerebral vascular thrombosis in a patient in whom hemodialysis was initiated using a flexible double-lumen (FDL) catheter through the right jugular vein during chemotherapy for intrahepatic bile duct cancer

Moniwa Norihito, Shimamura Yoshinosuke, Hasegawa Koichi, Takizawa Hideki, Sasaki Haruki, Yokoyama Yuka, Asaoka Katsuyuki, Ura Nobuyuki

doi:10.4009/jsdt.48.187

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Other Title

右内頸静脈flexible double-lumen catheter (FDLカテーテル) 留置により脳静脈血栓症を発症した肝内胆管癌合併CKD急性増悪の1例
症例報告右内頸静脈flexible double-lumen catheter(FDLカテーテル)留置により脳静脈血栓症を発症した肝内胆管癌合併CKD急性増悪の1例
ショウレイホウコクミギナイケイジョウミャク flexible double-lumen catheter(FDL カテーテル)リュウチニヨリノウジョウミャクケッセンショウオハッショウシタカンナイタンカンガンガッペイ CKD キュウセイゾウアクノ 1レイ

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Description

Recently, a growing number of patients with cancer have received hemodialysis because of an improvement of their mortality due to advances in anticancer therapy. On the other hand, it has been reported that some patients with cancer have coagulation disorders. A 72-year-old male who received chemotherapy for intrahepatic bile duct cancer developed appetite loss and general malaise. He showed acute on chronic renal failure and bradycardia due to hyperkalemia. A flexible double-lumen (FDL) catheter was inserted into the right jugular vein and hemodialysis was initiated. At 8 days in hospital, computed tomography showed a high-density area in the right posterior brain. Magnetic resonance venography revealed right transverse sinus thrombosis. The FDL catheter was removed and intravenous heparin infusion was started immediately. Although right jugular vein puncture is recommended for cannulation of an FDL catheter, we need to keep in mind cerebral vascular thrombosis as a complication of right jugular vein catheterization, especially in cases with malignant disease.

Journal

Nihon Toseki Igakkai Zasshi

Nihon Toseki Igakkai Zasshi 48 (3), 187-192, 2015

The Japanese Society for Dialysis Therapy

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