Silent and dangerous: catheter-associated right atrial thrombus (CRAT) in children on chronic haemodialysis.
Martin Garcia-NicolettiManish D SinhaAlexandra SavisShazia AdalatNarayan KarunanithyFrancis CalderPublished in: Pediatric nephrology (Berlin, Germany) (2020)
This is the first report of CRAT in a paediatric HD population. There was ~ 11% incidence of CRAT in patients receiving chronic HD detected by surveillance echocardiography. Although frequently asymptomatic, CRAT is associated with serious sequelae. Anticoagulation and surveillance with expert echocardiography remain mainstays of management. Graphical abstract.