Uncommon Malposition of an Ultrasound-Guided Central Venous Catheter in the Renal Vein through the Superficial Femoral Vein: A Case Report
Categoria dell'articolo: Case Report
Pubblicato online: 31 lug 2024
Pagine: 266 - 270
Ricevuto: 23 feb 2024
Accettato: 06 giu 2024
DOI: https://doi.org/10.2478/jccm-2024-0026
Parole chiave
© 2024 Ting-Chia Remus Young et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Introduction
Malposition is a relatively rare complication associated with peripherally inserted central catheters (PICCs), particularly in cases of superficial femoral vein (SFV) catheterization. To the best of our knowledge, we are the first to report this rare case of SFV PICC malposition in the contralateral renal vein.
Case presentation
An 82-year-old woman underwent bedside cannulation of the SFV for PICC under ultrasound guidance. Subsequent radiographic examination revealed an unexpected misplacement, with the catheter tip positioned toward the contralateral renal vein. After pulling out the catheter on the basis of the X-ray result, it was observed that the catheter retained its function.
Conclusion
Although rare, tip misplacement should be considered in SFV PICC placement. Prompt correction of the tip position is crucial to prevent catheter malfunction and further catastrophic consequences. For critical patients receiving bedside SFV PICC insertion, postoperational X-ray is crucial for enhancing safety.