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Persistent left superior vena cava leads to catheter malposition during PICC Port placement

Persistent left superior vena cava leads to catheter malposition during PICC Port placement

forthcoming

Article Type: CASE REPORT

Article Subject: Nursing

DOI:10.5301/jva.5000498

Authors

Konstantinou, Evangelos A. Mariolis Sapsakos, Theodoros D. Katsoulas, Theodoros A. Velecheris, Dimitrios Tsitsimelis, Dimitrios Bonatsos, Gerasimos

Abstract

We present a case of peripherally inserted central catheter (PICC) port placement where the catheter had been malpositioned to the persistent left superior vena cava.

Despite the obvious elevation of the P-wave signaling proximity of the catheter tip to the sinus node, the catheter was not in the desired location within the superior vena cava or the right atrium, because of the presence of a persistent left superior vena cava. Computed tomography was used in order to locate the catheter.

The catheter was located in the persistent left superior vena cava.

Malpositioning of the catheter in the persistent left superior vena cava occurs in 0.3%-0.5% of patients. The catheter was subsequently removed.

Article History

  • • Accepted on 24/11/2015
  • • Available online on 20/01/2016

Disclosures

Financial support: None.
Conflict of interest: None.

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Authors

  • Konstantinou, Evangelos A. [PubMed] [Google Scholar] 1, 2, * Corresponding Author (ekonstan30@yahoo.com)
  • Mariolis Sapsakos, Theodoros D. [PubMed] [Google Scholar] 1
  • Katsoulas, Theodoros A. [PubMed] [Google Scholar] 1
  • Velecheris, Dimitrios [PubMed] [Google Scholar] 1
  • Tsitsimelis, Dimitrios [PubMed] [Google Scholar] 1
  • Bonatsos, Gerasimos [PubMed] [Google Scholar] 1

Affiliations

  • National and Kapodistrian University of Athens, Faculty of Nursing, Department of Surgery, Agioi Anargyroi Oncology Hospital, Athens - Greece
  • Evgenidion University Hospital, Athens - Greece

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