Delayed Migration and Perforation of the Jugular Vein by a Peripherally Inserted Central Catheter.
Joshua J. Oliver,R Erik Connor,Jacob R Powell,Jessica M Oliver,Brit Long +4 more
- 18 Oct 2017
- Vol. 1, Iss: 4, pp 384-386
TL;DR: A case of peripherally inserted central catheter migration and perforation of the left internal jugular vein in a home health setting in an 80-year-old female who complained of sudden onset left sided neck pain after starting an infusion of vancomycin.
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Abstract: We report a case of peripherally inserted central catheter (PICC) migration and perforation of the left internal jugular vein in a home health setting in an 80-year-old female. A left sided PICC was placed for treatment of diverticulitis following hospital discharge. She complained of sudden onset left sided neck pain immediately after starting an infusion of vancomycin. In the emergency department the injury was identified by portable chest radiograph and computed tomography of her neck. Following removal of the line, she had an uneventful course. Emergency physicians should be aware of this possible PICC line complication.
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Citations
Mediastinitis Secondary to Peripherally Inserted Central Catheter Migration and Perforation after Minor Trauma: A Case Report.
Osvaldo Martinez,Justin Puller +1 more
- 01 Feb 2021
TL;DR: Martinez et al. as mentioned in this paper reported a case of a fall associated with extraluminal PICC migration and perforation causing mediastinitis and severe sepsis after total parenteral nutrition infusion in a 54-year-old woman.
Veins of the Upper Body
Anitra C. Carr,Christopher P. Cheng +1 more
- 01 Jan 2019
TL;DR: Quantitative data are still lacking and are ripe for a revolution in upper body vein motion research, with many tricks of the trade for venous interventions discovered and are commonly utilized.
1
Rare case of SVC perforation secondary to PICC line
Tamer Elmashi
- 01 Jun 2023
TL;DR: In this paper , a 48-year-old female presented with chest pain in the setting of having a PICC line for chronic medical conditions, and a computed tomography with angiography (CTA) was obtained and revealed perforation of the superior vena cava (SVC) and subsequent mediastinitis from her PICc line.
Perforación de vena yugular por un catéter venoso central de inserción periférica
Ana Aparicio Serrano,Ángel González Galilea,José Manuel Miras Ríos,Maria Dolores Alcantara Laguna,Alfonso Calañas Continente +4 more
TL;DR: A 53-year-old male patient with an advanced distal esophageal cancer who suffered a potentially serious mechanical complication after insertion of a PICC is presented.
References
Imaging of the complications of peripherally inserted central venous catheters
TL;DR: An overview of the relevant peripheral and central venous anatomy, including anatomical variations, is provided and the complications of PICC lines are outlined.
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Change in peripherally inserted central catheter tip position with abduction and adduction of the upper extremity.
Andrew R. Forauer,Marc J. Alonzo +1 more
TL;DR: There is a tendency for the PICC tip to move in a caudal direction with the change in arm position from abduction to adduction, and this change in position should be considered during final catheter tip positioning.
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Central Venous Catheter Intravascular Malpositioning: Causes, Prevention, Diagnosis, and Correction
Carlos J. Roldan,Linda Paniagua +1 more
TL;DR: The objectives of this review were to describe factors associated with intravascular malpositioning of CVCs inserted via the neck and chest and to offer ways of preventing, identifying, and correcting suchmalpositioning.
Migration of central lines from the superior vena cava to the azygous vein
Tamara Miner Haygood,Kavin Malhotra,Chaan S Ng,Beth Chasen,Kevin W. McEnery,Marvin H. Chasen +5 more
TL;DR: Risk factors for migration into the azygos vein include placement from a left-sided approach and original positioning in the azen vein with correction at placement, and depth of placement in the superior vena cava.
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