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During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
Central venous catheters remain an indispensable modality of vascular access in patients undergoing maintenance hemodialysis, especially when permanent access is unavailable or other vascular access have failed. However, they are associated with serious complications, including central vein thrombosis. Superior vena cava (SVC) thrombosis is a rare but potentially life-threatening and may result in SVC syndrome causing airway obstruction, cerebral edema, increased intracranial pressure and pulmonary embolism.
We describe a 48-year-old male with end-stage-renal disease via a left internal jugular non tunneled dialysis catheter. The catheter was removed due to candidemia and the patient was placed on a seven-day catheter holiday. Subsequently, he developed progressive facial swelling, neck vein distention and dyspnea. Contrast-enhanced chest CT revealed extensive thrombus involving the left innominate vein and superior vena cava.
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.
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.
