Recurrent Migration of Peripherally Inserted Central Catheter into the Azygos Vein

Overview

Journal BMJ Case Rep

Specialty General Medicine

Date 2018 Jan 26

PMID 29367358

Citations 2

Authors

Goutham Talari

Preetham Talari

Saurabh Parasramka

Aibek E Mirrakhimov

Affiliations

Soon will be listed here.

Abstract

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.

Citing Articles

A case of intraoperative detection of a central venous catheter in azygos vein arch during esophageal cancer surgery.

Murakawa K, Ono K, Yamamura Y Surg Case Rep. 2024; 10(1):257.

PMID: 39527306 PMC: 11554596. DOI: 10.1186/s40792-024-02055-w.

Validation of the PICC length prediction formula based on anteroposterior chest radiographs for bedside ultrasound-guided placement.

Cho Y, Lee S, Park S, Lee H, Chung H PLoS One. 2022; 17(11):e0277526.

PMID: 36367880 PMC: 9651554. DOI: 10.1371/journal.pone.0277526.

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