This findings showed that a mural thrombus is formed due to endothelial damage brought about by catheter-induced trauma causing vascular stasis and thrombus formation as exemplified by Virchow's triad.Anticoagulation with unfractionated heparin was initiated and continued for 7 days then bridged with Warfarin.This was followed by marked improvement of the patient's clinical condition.Hemodialysis was resumed through a newly inserted femoral catheter.Warfarin was maintained as outpatient with target INR between 2-3 and he remains in good clinical condition without bleeding complications.Future vascular access planning was also undertaken.Conclusion: This case underscores the importance of recognizing central venous thrombosis as a potentially fatal complication of internal jugular catheter use in hemodialysis.Prompt identification through clinical assessment and imaging facilitates timely intervention.Thrombolysis constitutes the cornerstone of therapy.I have no potential conflict of interest to disclose.I did not use generative AI and AI-assisted technologies in the writing process.
Perkasa et al. (Wed,) studied this question.