Document Detail


Power injectable peripherally inserted central venous catheter lines frequently flip after power injection of contrast.
MedLine Citation:
PMID:  22805672     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the frequency of power injectable peripherally inserted central venous catheter (PIPICC) displacement after contrast injection for computed tomography.
MATERIALS AND METHODS: We included all patients who had a computed tomographic examination with contrast administration via PIPICC over a 4-month period. Several variables including catheter location before and after the injection were documented. Descriptive statistics were used for continuous variables. The χ² test was used to compare groups. Continuous variables were analyzed using the Student t test.
RESULTS: Among 78 injections in 67 patients (34 men and 33 women; median age, 49 years), there were 12 catheter displacements (15.4%): 5 (62.5%) of 8 catheters initially located proximal to the tracheobronquial angle (TBA) and 7 (10.14%) of 69 catheters initially located distal to the TBA. The initial catheter position before the injection correlated with the frequency of displacement significantly (P < 0.006). Contrast injection rate and amount of contrast were no risk factors for position change. There were no complications.
CONCLUSION: Catheter displacement occurred in 62.5%, with PIPICCS cephalad to the TBA. A preliminary scout view should be checked before the contrast injection. In addition, a postinjection scan scout view is recommended to verify catheter position.
Authors:
Luis Antonio Sosa Lozano; Charles Marn; Lawrence R Goodman
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of computer assisted tomography     Volume:  36     ISSN:  1532-3145     ISO Abbreviation:  J Comput Assist Tomogr     Publication Date:    2012 Jul-Aug
Date Detail:
Created Date:  2012-07-18     Completed Date:  2012-09-25     Revised Date:  2013-07-18    
Medline Journal Info:
Nlm Unique ID:  7703942     Medline TA:  J Comput Assist Tomogr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  427-30     Citation Subset:  IM    
Affiliation:
Department of Radiology, Froedtert Memorial Lutheran Hospital, Medical College of Wisconsin, Milwaukee, WI 53226, USA. lsosalozano@mcw.edu
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MeSH Terms
Descriptor/Qualifier:
Catheterization, Central Venous / adverse effects*,  instrumentation*
Catheterization, Peripheral / adverse effects*,  instrumentation*
Chi-Square Distribution
Contrast Media / administration & dosage*
Equipment Failure
Equipment Safety
Female
Humans
Injections, Intravenous / adverse effects,  instrumentation
Male
Middle Aged
Prospective Studies
Tomography, X-Ray Computed / methods*
Chemical
Reg. No./Substance:
0/Contrast Media

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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