Delayed Migration and Perforation of the Jugular Vein by a Peripherally Inserted Central Catheter

We report a case of peripherally inserted central catheter (PICC) migration and perforation of the left internal jugular vein in a home health setting in an 80-year-old female. A left sided PICC was placed for treatment of diverticulitis following hospital discharge. She complained of sudden onset l...

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Detalles Bibliográficos
Autores principales: Oliver, Joshua J., Connor, R. Erik, Powell, Jacob R., Oliver, Jessica M., Long, Brit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5965221/
https://www.ncbi.nlm.nih.gov/pubmed/29849343
http://dx.doi.org/10.5811/cpcem.2017.9.35829
Descripción
Sumario:We report a case of peripherally inserted central catheter (PICC) migration and perforation of the left internal jugular vein in a home health setting in an 80-year-old female. A left sided PICC was placed for treatment of diverticulitis following hospital discharge. She complained of sudden onset left sided neck pain immediately after starting an infusion of vancomycin. In the emergency department the injury was identified by portable chest radiograph and computed tomography of her neck. Following removal of the line, she had an uneventful course. Emergency physicians should be aware of this possible PICC line complication.

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