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Uncommon Malposition of an Ultrasound-Guided Central Venous Catheter in the Renal Vein through the Superficial Femoral Vein: A Case Report

Ting-Chia Remus Young

Ting-Chia Remus Young

  • Department of Critical Care Medicine, MacKay Memorial HospitalTaipei, Taiwan
  • Department of Medicine, Mackay Medical CollegeNew Taipei, Taiwan
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Young, Ting-Chia Remus
, 
Kuang-Hua Cheng

Kuang-Hua Cheng

  • Department of Critical Care Medicine, MacKay Memorial HospitalTaipei, Taiwan
  • Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan UniversityTaiwan
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Cheng, Kuang-Hua
 und 
Kuan-Pen Yu

Kuan-Pen Yu

  • Department of Critical Care Medicine, MacKay Memorial HospitalTaipei, Taiwan
  • Department of Anesthesiology, MacKay Memorial HospitalTaipei, Taiwan
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Yu, Kuan-Pen
  
31. Juli 2024
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Artikel-Kategorie: Case Report
Online veröffentlicht: 31. Juli 2024
Seitenbereich: 266 - 270
Eingereicht: 23. Feb. 2024
Akzeptiert: 06. Juni 2024
DOI: https://doi.org/10.2478/jccm-2024-0026
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© 2024 Ting-Chia Remus Young et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.

Fig. 1.

Postprocedural abdominal X-ray showing misplacement of the catheter tip in the contralateral renal vein (arrow).
Postprocedural abdominal X-ray showing misplacement of the catheter tip in the contralateral renal vein (arrow).

Fig. 2.

Relocation of the catheter tip within the middle segment of the inferior vena cava after pulling out by 8 cm (arrow).
Relocation of the catheter tip within the middle segment of the inferior vena cava after pulling out by 8 cm (arrow).

Previously reported malposition cases with SFV PICCs

First author (year) Number of patients Number of malposition cases (%) Age/Sex Malposition place Subsequent management Result of interest
Wan (2018) 221 0 (0) n/a n/a n/a Significant lower malposition rate in patients with SFV PICCs (0%) compared to upper limb PICCs (2.15%).
Zhao (2019) 121 2 (1.65) 89/f Contralateral common iliac vein No adjustment or re-puncture based on the decision from the doctor and the patient’s guardian. Significant lower malposition rate in patients with SFV PICCs (1.65%) compared to upper limb PICCs (6.02%).
73/m Folded at ipsilateral common iliac vein Pull out 4 cm according to the X-ray findings.
Elli (2022) 142 4 (2.82) n/a n/a Immediate replacement n/a
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Medizin, Klinische Medizin, Allgemeinmedizin, Innere Medizin, Innere Medizin, andere, Anästhesiologie, Intensivmedizin und Notfallmedizin, Chirurgie, Chirurgie, andere
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