关键词: adverse effects femoral vein intensive care peripheral catheterization renal veins

来  源:   DOI:10.2478/jccm-2024-0026   PDF(Pubmed)

Abstract:
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
摘要:
错位是与外周中心静脉导管(PICC)相关的相对罕见的并发症,特别是在股浅静脉(SFV)导管插入的情况下。据我们所知,我们是第一个报告这种罕见的情况下,在对侧肾静脉SFVPICC错位。
一名82岁的妇女在超声引导下接受了用于PICC的SFV床边插管。随后的射线照相检查发现了意外的错位,导管尖端朝向对侧肾静脉。根据X射线检查结果拔出导管后,观察到导管保留了其功能。
虽然罕见,在SFVPICC放置时应考虑尖端错位。迅速校正尖端位置对于防止导管故障和进一步的灾难性后果至关重要。对于接受床边SFVPICC插入的危重患者,术后X射线对提高安全性至关重要.
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