Malposition of peripherally inserted central catheter: Experience from 3,012 patients with cancer
- Authors:
View Affiliations
Affiliations: Department of Oncology, The First Affiliated Hospital of Chinese PLA General Hospital, Beijing 100048, P.R. China
- Published online on: August 20, 2013 https://doi.org/10.3892/etm.2013.1267
-
Pages:
891-893
Metrics: Total
Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
This article is mentioned in:
Abstract
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.
View References
|
1.
|
Ryder MA: Peripherally inserted central
venous catheters. Nurs Clin North Am. 28:937–971. 1993.PubMed/NCBI
|
|
2.
|
Walshe LJ, Malak SF, Eagan J and Sepkowitz
KA: Complication rates among cancer patients with peripherally
inserted central catheters. J Clin Oncol. 20:3276–3281. 2002.
View Article : Google Scholar : PubMed/NCBI
|
|
3.
|
Yamamoto AJ, Solomon JA, Soulen MC, et al:
Sutureless securement device reduces complications of peripherally
inserted central venous catheters. J Vasc Interv Radiol. 13:77–81.
2002. View Article : Google Scholar : PubMed/NCBI
|
|
4.
|
Kearns PJ, Coleman S and Wehner JH:
Complications of long arm-catheters: a randomized trial of central
vs peripheral tip location. JPEN J Parenter Enteral Nutr. 20:20–24.
1996. View Article : Google Scholar : PubMed/NCBI
|
|
5.
|
James L, Bledsoe L and Hadaway LC: A
retrospective look at tip location and complications of
peripherally inserted central catheter lines. J Intraven Nurs.
16:104–109. 1993.PubMed/NCBI
|
|
6.
|
Marcy PY: Central venous access:
techniques and indications in oncology. Eur Radiol. 18:2333–2344.
2008. View Article : Google Scholar : PubMed/NCBI
|
|
7.
|
Tian G, Zhu Y, Qi L, Guo F and Xu H:
Efficacy of multifaceted interventions in reducing complications of
peripherally inserted central catheter in adult oncology patients.
Support Care Cancer. 18:1293–1298. 2010. View Article : Google Scholar : PubMed/NCBI
|
|
8.
|
Cunningham RS and Ravikumar TS: A review
of peripherally inserted central venous catheters in oncology
patients. Surg Oncol Clin N Am. 4:429–441. 1995.PubMed/NCBI
|
|
9.
|
Aladangady N, Roy R and Costeloe KL: The
cobweb sign: percutaneous silastic long line tip placement in
tributaries of superficial veins. J Perinatol. 25:671–673. 2005.
View Article : Google Scholar : PubMed/NCBI
|
|
10.
|
Clarke P, Wadhawan R, Smyth J and Emmerson
AJ: Parenteral nutrition solution retrieved by lumbar puncture
following left saphenous vein catheterization. J Paediatr Child
Health. 39:386–389. 2003. View Article : Google Scholar : PubMed/NCBI
|
|
11.
|
De A and Imam A: Long line complication:
accidental cannulation of ascending lumbar vein. Arch Dis Child
Fetal Neonatal Ed. 90:F482005. View Article : Google Scholar : PubMed/NCBI
|
|
12.
|
Andersen C, Hart J, Vemgal P and Harrison
C: Prospective evaluation of a multi-factorial prevention strategy
on the impact of nosocomial infection in very-low-birthweight
infants. J Hosp Infect. 61:162–167. 2005. View Article : Google Scholar : PubMed/NCBI
|
|
13.
|
Golombek SG, Rohan AJ, Parvez B, Salice AL
and LaGamma EF: “Proactive” management of percutaneously inserted
central catheters results in decreased incidence of infection in
the ELBW population. J Perinatol. 22:209–213. 2002.
|
