Malposition of peripherally inserted central catheter: Experience from 3,012 patients with cancer
نویسندگان
چکیده
The aim of this study was to observe and analyze the causes of misplacement of peripherally inserted central catheters (PICCs) in patients with cancer. A total of 3,012 patients who underwent insertion of a PICC were reviewed from August 2000 to March 2012. The locations of the tube tips were recorded by chest X-ray examination. Malposition of the PICC was observed in 237 cases (7.87%), with the most frequently occurring site of misplacement being the jugular vein, followed by the axillary vein. By taking different remedies, all the malpositioned PICCs were relocated back to the superior vena cava or subclavian vein. In order to ensure the safe usage of PICCs, strict placement guidelines, skilled and experienced healthcare professionals and the cooperation of the patient is necessary.
منابع مشابه
Multifactor Analysis of Malposition of Peripherally Inserted Central Catheters in Patients With Cancer.
BACKGROUND Peripherally inserted central catheters (PICCs) are used widely in patients with cancer, but catheter malposition often occurs. OBJECTIVES This study aimed to provide a reference for clinically safe catheterization through multifactor analysis of malposition of PICCs in patients with cancer. METHODS The occurrence of PICC malposition in patients with cancer was retrospectively re...
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INTRODUCTION Peripherally inserted central venous catheters (PICC) are widely used in cancer patients and ultrasound-guided PICC insertion could improve success rate. The tip position of the catheter should be located at the border of lower one-third of the superior vena cava (SVC) and cavo-atrial junction. The migration is malposition at the late stage after PICCs were inserted, and catheter m...
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