Persistent Left Superior Vena Cava Leads to Catheter Malposition during PICC Port Placement-Reference-Cited by-同舟云学术

Persistent Left Superior Vena Cava Leads to Catheter Malposition during PICC Port Placement

Published:2016-03 Issue:2 Volume:17 Page:e29-e31
ISSN:1129-7298
Container-title:The Journal of Vascular Access
language:en
Short-container-title:J Vasc Access

Author:

Konstantinou Evangelos A.¹²,Sapsakos Theodoros D. Mariolis¹,Katsoulas Theodoros A.¹,Velecheris Dimitrios¹,Tsitsimelis Dimitrios¹,Bonatsos Gerasimos¹

Affiliation:

1. National and Kapodistrian University of Athens, Faculty of Nursing, Department of Surgery, Agioi Anargyroi Oncology Hospital, Athens - Greece

2. Evgenidion University Hospital, Athens - Greece

Abstract

Introduction We present a case of peripherally inserted central catheter (PICC) port placement where the catheter had been malpositioned to the persistent left superior vena cava. Methods Despite the obvious elevation of the P-wave signaling proximity of the catheter tip to the sinus node, the catheter was not in the desired location within the superior vena cava or the right atrium, because of the presence of a persistent left superior vena cava. Computed tomography was used in order to locate the catheter. Results The catheter was located in the persistent left superior vena cava. Conclusions Malpositioning of the catheter in the persistent left superior vena cava occurs in 0.3%–0.5% of patents. The catheter was subsequently removed.

Publisher

SAGE Publications

Subject

Nephrology,Surgery

Link

http://journals.sagepub.com/doi/pdf/10.5301/jva.5000498

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