Contributing factors for a late spontaneous peripherally inserted central catheter migration: a case report and review of literature.
OBJECTIVE
Peripherally inserted central catheters (PICCs) are associated with some adverse events, the most frequent are thrombosis, tip catheter malposition and spontaneous late migration. However, the cause of spontaneous late migration in most cases remains unknown. We carried out this study to add data to the literature on PICCs late spontaneous migration.


METHODS
We conducted a systematic review of all manuscripts describing PICC spontaneous late migration in adult populations and we also described two cases of late PICCs migration.


RESULTS
We identified five studies for a total of 58 cases of PICC late migration. In our two cases, patients' activity is an important contributing factor for late spontaneous PICC migration.


CONCLUSIONS
To avoid late catheter misplacement, initial malposition should be immediately identified and promptly corrected and a detailed patients training should be carried out.
1 Department of Anaesthesia and Intensive Care, San Raffaele Scientific Institute, Milan - Italy.
Paolo
P
Beccaria
Simona
S
Silvetti
Milena
M
Mucci
Ivana
I
Battini
Paola
P
Brambilla
Alberto
A
Zangrillo
D002405:Catheterization, Central Venous / Q000009:adverse effects* / Q000295:instrumentation* / Q000379:methods; D002406:Catheterization, Peripheral / Q000009:adverse effects* / Q000295:instrumentation* / Q000379:methods; D062905:Central Venous Catheters; D004867:Equipment Design; D005548:Foreign-Body Migration / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D013997:Time Factors