A late spontaneous peripherally inserted central catheter migration: two cases series

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Published May 18, 2023
DOI: https://doi.org/10.22551/2023.39.1002.10242
Remo Caramia http://orcid.org/0000-0002-4548-4323 Nicola Recchia Silvia Santoro Lorenzo Ammirabile Pietro Fedele

Abstract

A central venous catheter is a flexible catheter that is inserted into a vein and ends close to the superior vena cava. It may be inserted through a vein in the neck, chest, or arm. Its also called a central venous line or central line. Peripherally inserted central venous catheters (PICCs) are usually implanted in arm veins such as the basilic vein, the brachial veins or in some cases in the cephalic vein. PICCs can remain in place for up to six months or more. If properly managed, they last even more than a year. PICCs offer the advantage of greater safety for infusion of vesicants/irritants and hyperosmolar solutions and enable the administration of antibiotics, prolonged parenteral nutrition, and chemotherapy agents. They are however, associated with some adverse events such as spontaneous late migration. The reasons for these complications are not yet fully understood. There are now established causes and in some cases hypotheses to explain these phenomena. We describe two clinical cases in which apparently correctly positioned PICCs migrated spontaneously from their original position. The identification of the migration of the vascular catheter was accidental in the two patients, and they did not developed complications. One of the two patients had a pacemaker. The remote migration of a PICC is an event that can occur, and the causes are not definitively clarified in all cases.

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Keywords

peripherally inserted central catheter, spontaneous migration, superior vena cava, complications, central catheter correct position

References
1) Mielke D, Wittig A, Teichgräber U. Peripherally inserted central venous catheter (PICC) in outpatient and inpatient oncological treatment. Support Care Cancer. 2020;28(10):4753-4760. doi: 10.1007/s00520-019-05276-0. PMID: 31970514; PMCID: PMC7447660.
2) Marsh N, Webster J, Ullman AJ, et al. Peripheral intravenous catheter non-infectious complications in adults: A systematic review and meta-analysis. J Adv Nurs. 2020;76(12):3346-3362. doi: 10.1111/jan.14565. PMID: 33016412.
3) Rasuli P, Hammond DI, Peterkin IR. Spontaneous intrajugular migration of long-term central venous access catheters. Radiology. 1992;182(3):822-824. doi: 10.1148/radiology.182.3.822. Erratum in: Radiology 1992;185(1):286. PMID: 1535901.
4) Erskine B, Bradley P, Joseph T, Yeh S, Clements W. Comparing the accuracy and complications of peripherally inserted central catheter (PICC) placement using fluoroscopic and the blind pushing technique. J Med Radiat Sci. 2021;68(4):349-355. doi: 10.1002/jmrs.533. PMID: 34343419; PMCID: PMC8655624.
5) Franklin I, Gilmore C. Placement of a peripherally inserted central catheter into the azygous vein. J Med Radiat Sci. 2015;62(2):160-162. doi: 10.1002/jmrs.98. PMID: 26229681; PMCID: PMC4462988.
6) Wu PY, Yeh YC, Huang CH, Lau HP, Yeh HM. Spontaneous migration of a Port-a-Cath catheter into ipsilateral jugular vein in two patients with severe cough. Ann Vasc Surg. 2005;19(5):734-736. doi: 10.1007/s10016-005-4638-1. PMID: 16010503.
7) Beccaria P, Silvetti S, Mucci M, et al. Contributing factors for a late spontaneous peripherally inserted central catheter migration: a case report and review of literature. J Vasc Access. 2015;16(3):178-182. doi: 10.5301/jva.5000337. PMID: 25744563.
8) Weber MD, Himebauch AS, Conlon T. Repositioning of malpositioned peripherally inserted central catheter lines with the use of intracavitary electrocardiogram: A pediatric case series. J Vasc Access. 2020;21(2):259-264. doi: 10.1177/1129729819865812. PMID: 31364466.
9) Yu C, Shulan L, Juan W, Ling L, Chun-Mei L. The accuracy and safety of using the electrocardiogram positioning technique in localizing the peripherally inserted central catheter tip position: A systematic review and meta-analysis. Nurs Open. 2022;9(3):1556-1563. doi: 10.1002/nop2.932. PMID: 34132498; PMCID: PMC8994971.
10) Wallace JA, Afonso E, Yu H, Birchard K, Isaacson A. Factors that predict increased catheter tip movement in left internal jugular vein implantable venous access ports upon standing. J Vasc Access. 2015;16(3):223-226. doi: 10.5301/jva.5000331. PMID: 25613147.
11) Yu Y, Yuan L. The electrocardiographic method for positioning the tip of central venous access device. J Vasc Access. 2020;21(5):589-595. doi: 10.1177/1129729819874986. PMID: 31512961.
How to Cite
Caramia, R., Recchia, N., Santoro, S., Ammirabile, L., & Fedele, P. (2023). A late spontaneous peripherally inserted central catheter migration: two cases series. Archive of Clinical Cases, 10(2), Arch Clin Cases 2023; 10(2):61-65. https://doi.org/10.22551/2023.39.1002.10242
Issue
Vol. 10 No. 2 (2023)
Section
Case Reports

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How to Cite

Caramia, R., Recchia, N., Santoro, S., Ammirabile, L., & Fedele, P. (2023). A late spontaneous peripherally inserted central catheter migration: two cases series. Archive of Clinical Cases, 10(2), Arch Clin Cases 2023; 10(2):61-65. https://doi.org/10.22551/2023.39.1002.10242