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Uncommon Malposition of an Ultrasound-Guided Central Venous Catheter in the Renal Vein through the Superficial Femoral Vein: A Case Report Cover

Uncommon Malposition of an Ultrasound-Guided Central Venous Catheter in the Renal Vein through the Superficial Femoral Vein: A Case Report

Open Access
|Jul 2024

Figures & Tables

Fig. 1.

Postprocedural abdominal X-ray showing misplacement of the catheter tip in the contralateral renal vein (arrow).
Postprocedural abdominal X-ray showing misplacement of the catheter tip in the contralateral renal vein (arrow).

Fig. 2.

Relocation of the catheter tip within the middle segment of the inferior vena cava after pulling out by 8 cm (arrow).
Relocation of the catheter tip within the middle segment of the inferior vena cava after pulling out by 8 cm (arrow).

Previously reported malposition cases with SFV PICCs

First author (year)Number of patientsNumber of malposition cases (%)Age/SexMalposition placeSubsequent managementResult of interest
Wan (2018)2210 (0)n/an/an/aSignificant lower malposition rate in patients with SFV PICCs (0%) compared to upper limb PICCs (2.15%).

Zhao (2019)1212 (1.65)89/fContralateral common iliac veinNo adjustment or re-puncture based on the decision from the doctor and the patient’s guardian.Significant lower malposition rate in patients with SFV PICCs (1.65%) compared to upper limb PICCs (6.02%).
73/mFolded at ipsilateral common iliac veinPull out 4 cm according to the X-ray findings.

Elli (2022)1424 (2.82)n/an/aImmediate replacementn/a
DOI: https://doi.org/10.2478/jccm-2024-0026 | Journal eISSN: 2393-1817 | Journal ISSN: 2393-1809
Language: English
Page range: 266 - 270
Submitted on: Feb 23, 2024
Accepted on: Jun 6, 2024
Published on: Jul 31, 2024
Published by: University of Medicine, Pharmacy, Science and Technology of Targu Mures
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2024 Ting-Chia Remus Young, Kuang-Hua Cheng, Kuan-Pen Yu, published by University of Medicine, Pharmacy, Science and Technology of Targu Mures
This work is licensed under the Creative Commons Attribution 4.0 License.