Recurrent migration of peripherally inserted central catheter into the azygos vein

Peripherally inserted central catheter (PICC) migration into azygos vein (AV) is a rare complication. It is recognised only when catheter malfunction occurs or when patients develop associated complications. PICC migration into AV has been reported to be associated with various complications such as...

Full description

Saved in:
Bibliographic Details
Published in:BMJ case reports 2018-01, Vol.2018, p.bcr-2017-221184
Main Authors: Talari, Goutham, Talari, Preetham, Parasramka, Saurabh, Mirrakhimov, Aibek E
Format: Article
Language:English
Subjects:
Adult
Antibiotics
Azygos Vein
Case reports
Catheterization, Peripheral - instrumentation
Catheterization, Peripheral - methods
Catheters
Central Venous Catheters - adverse effects
Female
Foreign-Body Migration
Heart failure
Humans
Recurrence
Unexpected Outcome (Positive or Negative) Including Adverse Drug Reactions
Veins & arteries
Vertebrae
X-rays
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Peripherally inserted central catheter (PICC) migration into azygos vein (AV) is a rare complication. It is recognised only when catheter malfunction occurs or when patients develop associated complications. PICC migration into AV has been reported to be associated with various complications such as catheter malfunction, perforation, haemorrhage, thrombosis, infection and stenosis of AV. Pleural effusion and trachea–azygos fistulas have also been reported. We present a patient with recurrent migration of PICC into AV after an initial corrective repositioning during the same hospital stay. In this case, PICC migration was possibly related to left-sided approach, use of smaller diameter PICC, severe congestive heart failure and her bedbound status. PICC migration should be considered when PICC found be malfunctioning, especially if associated with the above risk factors.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2017-221184