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Spontaneous correction of misplaced peripherally inserted central catheters

  • Wenfeng Chen
  • Lianxiang He
  • Liqing Yue
  • Mijung Park
  • Haoyu Deng
Original Paper

Abstract

The purpose of the present study was to examine a new protocol involving the spontaneous correction of the misplaced tip of a peripherally inserted central catheter (PICC). Patients with PICCs misplaced in the jugular or contralateral subclavian veins were recruited. All patients underwent chest X-ray (CXR) after 3 days. In addition, those whose PICC tip still was misplaced and received another CXR after 4 days. The functions of the catheters, the subjective feelings of the patients, and local symptoms of the neck and upper anterior chest wall were recorded. Among 866 patients who had PICCs, we observed 22 PICC tips misplaced in the jugular, 3 tips misplaced in the contralateral subclavian vein, and 7 tips misplaced in other locations, which was confirmed by CXR. A total of 22 PICC tips automatically returned to the superior vena cava, which included all 3 tips in the contralateral subclavian vein and 19 tips in the jugular vein. All catheters functioned normally, and the patients had no complaints. In addition, we observed no local symptoms of the neck and upper anterior chest wall. For patients experiencing a PICC misplaced in the jugular and contralateral subclavian veins, there is no need to manually replace. In addition, the function of the catheter can remain normal.

Keywords

Peripherally inserted central catheters (PICC) Tip malposition Internal jugular Contralateral subclavian vein 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest. Informed consent: Informed consent was obtained from all individual participants included in the study.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer Science+Business Media B.V., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Oncology Department, Xiangya HospitalCentral South UniversityChangshaChina
  2. 2.Nursing Department, Xiangya HospitalCentral South UniversityChangshaChina
  3. 3.Department of Family Health Care NursingUCSF School of NursingSan FranciscoUSA
  4. 4.Nuclear department, Xiangya HospitalCentral South UniversityChangshaChina

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