Contributing factors for a late spontaneous peripherally inserted central catheter migration: a case report and review of literature

The Journal of Vascular Access
Paolo BeccariaAlberto Zangrillo

Abstract

Peripherally inserted central catheters (PICCs) are associated with some adverse events, the most frequent are thrombosis, tip catheter malposition and spontaneous late migration. However, the cause of spontaneous late migration in most cases remains unknown. We carried out this study to add data to the literature on PICCs late spontaneous migration. We conducted a systematic review of all manuscripts describing PICC spontaneous late migration in adult populations and we also described two cases of late PICCs migration. We identified five studies for a total of 58 cases of PICC late migration. In our two cases, patients' activity is an important contributing factor for late spontaneous PICC migration. To avoid late catheter misplacement, initial malposition should be immediately identified and promptly corrected and a detailed patients training should be carried out.

References

Apr 29, 1998·Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS·W Weissauer
Sep 19, 2000·British Journal of Anaesthesia·M SchusterB Panning
Jul 11, 2009·Clinical Radiology·S S H AmerasekeraM J Cleasby
Jun 29, 2011·Journal of Anesthesia·Yeling ZhangHongsheng Yu
Jun 23, 2012·Journal of Vascular and Interventional Radiology : JVIR·Lauren LambethAfshin Karimi
Jul 19, 2012·Journal of Computer Assisted Tomography·Luis Antonio Sosa LozanoLawrence R Goodman

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