Secondary migration of a central venous catheter. A case report.
A case of central venous catheter (CVC) secondary migration in a patient with Hodgkin's lymphoma is reported. The catheter was inserted in the right internal jugular vein with anterior approach. The correct position of the catheter tip in the superior vena cava was confirmed by X-ray. Secondary migration to the right subclavian vein, without displacement at the point of insertion, was reported 8 days later by a chest X-ray performed for worsening of the respiratory condition. CVC was removed and reinserted with the same procedure. The correct position of the catheter tip was confirmed by thoracic radiography till 10 days later. Epidemiological data present in the literature and secondary migration predisposing factors are reported.
Carlon
R
R
Department of Anesthesiology and Resuscitation, Polyclinic Hospital, University of Udine, Udine, Italy. r-carlon@libero.it
Chiarandini
P
P
Pasqualucci
A
A
D000328:Adult; D002405:Catheterization, Central Venous / Q000295:instrumentation*; D004868:Equipment Failure; D005548:Foreign-Body Migration; D006801:Humans