Asymptomatic Right Atrial Thrombosis After Acute Lymphoblastic Leukemia Treatment

Kirsten B Jarvis; Nadine G Andersson; Mia Giertz; Liisa Järvelä; Olle Lindinger; Satu Långström; Riitta Niinimäki; Sauli Palmu; Sonata S Trakymiene; Ruta Tuckuviene; Kaisa Vepsäläinen; Susanna Ranta; Tony Frisk

doi:10.1097/MPH.0000000000001848

Asymptomatic Right Atrial Thrombosis After Acute Lymphoblastic Leukemia Treatment

Kirsten B Jarvis^*, Nadine G Andersson, Mia Giertz, Liisa Järvelä, Olle Lindinger, Satu Långström, Riitta Niinimäki, Sauli Palmu, Sonata S Trakymiene, Ruta Tuckuviene, Kaisa Vepsäläinen, Susanna Ranta, Tony Frisk

^*Corresponding author for this work

Research output: Contribution to journal › Journal article › Research › peer-review

2 Citations (Scopus)

Abstract

Right atrial thrombosis is a rare, but potentially serious complication of acute lymphoblastic leukemia treatment. We conducted a retrospective multicenter study to assess the incidence, treatment, and outcome of asymptomatic right atrial thrombosis detected at routine echocardiography of children after acute lymphoblastic leukemia treatment in the Nordic and Baltic countries. Eleven (2.7%, 95% confidence interval, 1.4-4.9) of 406 patients had asymptomatic right atrial thrombosis, ranging from 10 to 25 mm at detection. Three patients were treated with anticoagulation. None of the thromboses affected cardiac function, and they showed neither sign of progress nor spontaneous or treatment-related regress at follow-up.

Original language	English
Journal	Journal of Pediatric Hematology/Oncology
Volume	43
Issue number	4
Pages (from-to)	e564-e566
Number of pages	3
ISSN	1077-4114
DOIs	https://doi.org/10.1097/MPH.0000000000001848
Publication status	Published - May 2021

Bibliographical note

Keywords

acute lymphoblastic leukemia
central venous catheter
thrombosis

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Jarvis, K. B., Andersson, N. G., Giertz, M., Järvelä, L., Lindinger, O., Långström, S., Niinimäki, R., Palmu, S., Trakymiene, S. S., Tuckuviene, R., Vepsäläinen, K., Ranta, S., & Frisk, T. (2021). Asymptomatic Right Atrial Thrombosis After Acute Lymphoblastic Leukemia Treatment. Journal of Pediatric Hematology/Oncology, 43(4), e564-e566. https://doi.org/10.1097/MPH.0000000000001848

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abstract = "Right atrial thrombosis is a rare, but potentially serious complication of acute lymphoblastic leukemia treatment. We conducted a retrospective multicenter study to assess the incidence, treatment, and outcome of asymptomatic right atrial thrombosis detected at routine echocardiography of children after acute lymphoblastic leukemia treatment in the Nordic and Baltic countries. Eleven (2.7%, 95% confidence interval, 1.4-4.9) of 406 patients had asymptomatic right atrial thrombosis, ranging from 10 to 25 mm at detection. Three patients were treated with anticoagulation. None of the thromboses affected cardiac function, and they showed neither sign of progress nor spontaneous or treatment-related regress at follow-up.",

keywords = "acute lymphoblastic leukemia, central venous catheter, thrombosis",

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Jarvis, KB, Andersson, NG, Giertz, M, Järvelä, L, Lindinger, O, Långström, S, Niinimäki, R, Palmu, S, Trakymiene, SS, Tuckuviene, R, Vepsäläinen, K, Ranta, S & Frisk, T 2021, 'Asymptomatic Right Atrial Thrombosis After Acute Lymphoblastic Leukemia Treatment', Journal of Pediatric Hematology/Oncology, vol. 43, no. 4, pp. e564-e566. https://doi.org/10.1097/MPH.0000000000001848

TY - JOUR

T1 - Asymptomatic Right Atrial Thrombosis After Acute Lymphoblastic Leukemia Treatment

AU - Jarvis, Kirsten B

AU - Andersson, Nadine G

AU - Giertz, Mia

AU - Järvelä, Liisa

AU - Lindinger, Olle

AU - Långström, Satu

AU - Niinimäki, Riitta

AU - Palmu, Sauli

AU - Trakymiene, Sonata S

AU - Tuckuviene, Ruta

AU - Vepsäläinen, Kaisa

AU - Ranta, Susanna

AU - Frisk, Tony

PY - 2021/5

Y1 - 2021/5

N2 - Right atrial thrombosis is a rare, but potentially serious complication of acute lymphoblastic leukemia treatment. We conducted a retrospective multicenter study to assess the incidence, treatment, and outcome of asymptomatic right atrial thrombosis detected at routine echocardiography of children after acute lymphoblastic leukemia treatment in the Nordic and Baltic countries. Eleven (2.7%, 95% confidence interval, 1.4-4.9) of 406 patients had asymptomatic right atrial thrombosis, ranging from 10 to 25 mm at detection. Three patients were treated with anticoagulation. None of the thromboses affected cardiac function, and they showed neither sign of progress nor spontaneous or treatment-related regress at follow-up.

AB - Right atrial thrombosis is a rare, but potentially serious complication of acute lymphoblastic leukemia treatment. We conducted a retrospective multicenter study to assess the incidence, treatment, and outcome of asymptomatic right atrial thrombosis detected at routine echocardiography of children after acute lymphoblastic leukemia treatment in the Nordic and Baltic countries. Eleven (2.7%, 95% confidence interval, 1.4-4.9) of 406 patients had asymptomatic right atrial thrombosis, ranging from 10 to 25 mm at detection. Three patients were treated with anticoagulation. None of the thromboses affected cardiac function, and they showed neither sign of progress nor spontaneous or treatment-related regress at follow-up.

KW - acute lymphoblastic leukemia

KW - central venous catheter

KW - thrombosis

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U2 - 10.1097/MPH.0000000000001848

DO - 10.1097/MPH.0000000000001848

M3 - Journal article

C2 - 32555028

SN - 1077-4114

VL - 43

SP - e564-e566

JO - Journal of Pediatric Hematology/Oncology

JF - Journal of Pediatric Hematology/Oncology

IS - 4

ER -

Asymptomatic Right Atrial Thrombosis After Acute Lymphoblastic Leukemia Treatment

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