A 60-year-old man on ICU has a right internal jugular CVC. Ultrasound shows the IJV is thrombosed around the catheter. He has no symptoms. What is the...

Question

A 60-year-old man on ICU has a right internal jugular CVC. Ultrasound shows the IJV is thrombosed around the catheter. He has no symptoms. What is the recommended management?

Accepted Answer

If the CVC is still functioning and required, it may be left in situ with therapeutic anticoagulation; remove when no longer needed

Answer

Remove the CVC immediately and anticoagulate

Answer

Ignore the thrombosis

Answer

Perform surgical thrombectomy

Answer

Insert a second CVC on the contralateral side and remove the thrombosed one without anticoagulation

uk-fficm MCQ (SBA): Catheter-Related Thrombosis

A 60-year-old man on ICU has a right internal jugular CVC. Ultrasound shows the IJV is thrombosed around the catheter. He has no symptoms. What is the recommended management?