Patient arrived in apheresis area in good health to receive extracorporal photophoresis with the therakos cellex machine.The nurse drew blood for labs but drew a large clot from the lumen.Right after, the patient became visibly distressed.She complained of shortness of breath and started to cough.She complained of chest heaviness.A stat ekg was done, oxygen was applied and a registered respiratory therapist (rrt) was called.The patient was transported to the emergency department (ed).In the ed, via ultrasound a large intrajugular thrombus was diagnosed on ultrasound.Vq (ventilation-perfusion scan) high probability of pulmonary embolism (pe) and admission required.Patient reported neck discomfort during photopheresis and was asked to be seen for line assessment.Per patient, she has been experiencing discomfort on her right neck with motion, eating and swallowing.Symptoms started three days after the 8th treatment.A large clot was removed from the central line prior to procedure.Manufacturer response for extracorporeal photopheresis machine, cellex (per site reporter).Pending.
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