title: Repositioning of malpositioned or flipped central venous catheters.
abstract: Primary misplaced or secondary flipped implanted catheters are located mostly in the right jugular vein. We demonstrate an effective method to replace fix implanted catheters such as Ports, Grochomg or Hickman catheters. Using a femoral venous approach, replacement into the superior vena cava can easily be done with a Sidewinder 1 catheter which is hooked over the misplaced central venous approach. In all our patients the method was successful. The repositioning technique described is simple, fast and has low costs. We can keep sterile conditions and do not need to solve the catheters' fixation.
authors.affiliation: Institute for Diagnostic and Interventional Radiology, Central Radiology Clinic, J.W. Goethe University, Theodor-Stern-Kai 7, 60596 Frankfurt am Main, Germany.
authors.forename: A
authors.initials: A
authors.lastname: Thalhammer
authors.forename: V
authors.initials: V
authors.lastname: Jacobi
authors.forename: J
authors.initials: J
authors.lastname: Balzer
authors.forename: T J
authors.initials: TJ
authors.lastname: Vogl
mesh_terms: D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000295:instrumentation*; D004868:Equipment Failure; D006801:Humans; D007601:Jugular Veins; D019300:Medical Errors; D013927:Thrombosis / Q000209:etiology