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Case Reports in Nephrology
Volume 2015, Article ID 724132, 4 pages
Case Report

Three-Dimensional Imaging of a Central Venous Dialysis Catheter Related Infected Thrombus

1Vascular Research Group, Institute of Population Health, The University of Manchester, Manchester Academic Health Sciences Centre, Manchester M13 9PL, UK
2Department of Renal Medicine, Salford Royal NHS Foundation Trust, Stott Lane, Salford M6 8HD, UK
3Department of Cardiology, Salford Royal Hospital, Salford Royal NHS Foundation Trust, Stott Lane, Salford M6 8HD, UK

Received 27 August 2015; Accepted 22 October 2015

Academic Editor: Kostas C. Siamopoulos

Copyright © 2015 Diana Yuan Yng Chiu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Three-dimensional (3D) echocardiography is becoming widely available and with novel applications. We report an interesting case of a 68-year-old lady with a central venous thrombosis coincident with both a dialysis catheter infection and a recent pacemaker insertion. Two-dimensional transesophageal echocardiography was unable to delineate whether the thrombosis was involved with the pacemaker wire or due to the tunneled catheter infection. The use of 3D echocardiography was able to produce distinct images aiding diagnosis. This circumvented the need for invasive investigations and inappropriate, high-risk removal of the pacing wire. This case highlights the emerging application of 3D echocardiography in routine nephrology practice.