{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:10:12Z","timestamp":1777936212410,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T00:00:00Z","timestamp":1689724800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:p>Catheter related atrial thrombus (CRAT) is a devastating complication associated with tunneled hemodialysis catheter. Abiotrophia defectiva is a rare fastidious pathogen implicated predominantly in culture negative infective endocarditis. Here we report three cases of CRAT in maintenance hemodialysis patients with variable clinical presentation caused by Abiotrophia defectiva. Video assisted thoracoscopic retrieval of atrial thrombus is a novel technique which is scarcely reported in medical literature for surgical management of large atrial thrombus. Our cases were managed by timely administration of antibiotics and anticoagulants followed by surgical retrieval of atrial thrombus with removal of tunneled dialysis catheter. This case series illustrates the importance of prompt diagnosis, appropriate anticoagulation with antibiotics, and mini-invasive surgical removal of atrial thrombus for the management of CRAT.<\/jats:p>","DOI":"10.1177\/11297298231188926","type":"journal-article","created":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T03:06:30Z","timestamp":1689735990000},"page":"1351-1354","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Catheter related atrial thrombus caused by Abiotrophia defectiva: A case series and review of literature"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1967-4470","authenticated-orcid":false,"given":"Gerry George","family":"Mathew","sequence":"first","affiliation":[{"name":"Department of Nephrology, SRM Medical College Hospital and Research Centre, Kattankulathur, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8631-1317","authenticated-orcid":false,"given":"Kiran Kumar","family":"Kompella","sequence":"additional","affiliation":[{"name":"Medicine and Infectious Diseases, Army Hospital R&R, Delhi Cantonment, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajamahesh","family":"Jayabalan","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Apollo Hospital Greams Lane, Thousand Lights, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3473-1608","authenticated-orcid":false,"given":"Venkatesh","family":"Rajkumar","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Apollo Hospital Greams Lane, Thousand Lights, Chennai, Tamil Nadu, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,7,19]]},"reference":[{"key":"bibr1-11297298231188926","doi-asserted-by":"publisher","DOI":"10.4103\/ijn.IJN_125_17"},{"key":"bibr2-11297298231188926","first-page":"7050257","volume":"2022","author":"Lancaster I","year":"2022","journal-title":"Case Rep Infect Dis"},{"key":"bibr3-11297298231188926","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.933427"},{"key":"bibr4-11297298231188926","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfr739"},{"issue":"12","key":"bibr5-11297298231188926","volume":"11","author":"Agrawal U","year":"2019","journal-title":"Cureus"},{"key":"bibr6-11297298231188926","doi-asserted-by":"publisher","DOI":"10.4103\/0974-777X.204693"},{"key":"bibr7-11297298231188926","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2008.01.014"},{"key":"bibr8-11297298231188926","doi-asserted-by":"publisher","DOI":"10.1128\/AAC.02645-15"},{"key":"bibr9-11297298231188926","doi-asserted-by":"publisher","DOI":"10.1111\/1759-7714.12289"},{"issue":"1","key":"bibr10-11297298231188926","first-page":"54","volume":"30","author":"Benjamin MM","year":"2017","journal-title":"Proc (Bayl Univ Med Cent)"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298231188926","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11297298231188926","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11297298231188926","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:23:09Z","timestamp":1777692189000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11297298231188926"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7,19]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.1177\/11297298231188926"],"URL":"https:\/\/doi.org\/10.1177\/11297298231188926","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7,19]]}}}