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Revista médica de Chile · Sep 2011
Review Case Reports[Venous thrombosis secondary to catheter insertion for hypothermia after cardiac arrest. Report of one case].
- Jaime Retamal, Jean Bachler, Ricardo Mejía, Orlando Concha, and Max Andresen.
- Departamento de Medicina Intensiva, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago de Chile. jaimeretamal@gmail.com
- Rev Med Chil. 2011 Sep 1;139(9):1201-5.
AbstractTo improve survival and reduce neurological injury, the use of mild hypothermia following cardiac arrest has been recommended. We report a 65 years old woman who presented an out-of-hospital ventricular fibrillation and cardiac arrest. The patient was comatose following initial resuscitation and was admitted into the ICU, where cooling was initiated using an intravascular catheter. After 48 hours, rewarming was initiated. Although no neurological impairment was observed, physical examination of the right inguinal area and echo-Doppler examination revealed an extensive catheter-related thrombophlebitis with right ileocaval vein occlusion., with high risk of massive and life threatening pulmonary embolism. We report a clinical case and review the literature to point out the need for a high index of diagnostic suspicion of deep venous thrombosis in these specific setting.
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