Management
Reports of catheter-associated RAT management vary widely. Outcomes following anticoagulation are generally favorable and reports have shown benefits of dual antiplatelet therapy following catheter removal.10,13,15 In a meta-analysis, Stavroulopoulos et al demonstrated that maintenance of the catheter in place after thrombus discovery was significantly and independently associated with mortality, favoring management strategies that include catheter removal and anticoagulation.7,16 Our series showed a high rate of thrombus resolution with routine anticoagulation and catheter removal when deemed clinically appropriate, with replacement as necessary. Awareness of the potential for RAT and appropriate surveillance is critical in order to properly address RAT that develop.