Migration of PICC after contrast-enhanced computed tomography

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Surprisingly, two days after catheter insertion, chest X-rays showed the catheter had become displaced into the ipsilateral internal jugular vein” Lee and Seong (2019).

Extract:

A 35-year-old man with end-stage renal disease was admitted for chronic respiratory failure. During hospitalization, arteriovenous graft malfunction occurred and a computed tomography (CT) angiography was planned. A 5 French power injectable peripherally inserted central catheter (PICC, TurboJect®; Cook Medical, Bloomington, IN) was inserted under fluoroscopic guidance, and located in the distal superior vena cava and fixed to the skin with sutures (Fig. 1A). Surprisingly, two days after catheter insertion, chest X-rays showed the catheter had become displaced into the ipsilateral internal jugular vein (Fig. 1B).

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Reference:

Lee, J. and Seong, G.M. (2019) Migration of Peripherally Inserted Central Catheter after Contrast-Enhanced Computed Tomography. Chonnam Medical Journal. 55(2), p.122-123. doi: 10.4068/cmj.2019.55.2.122.

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