Distal Ventriculoperitoneal Catheter Migration Revealed by Radionuclide Shuntogram

CONTEXT: The use of parenteral nutrition via a central venous catheter is a common practice in the neonatal intensive care setting. Extravasation of the infusate leading to an acute abdomen is a complication that has only rarely been documented. This report describes the case of a premature infant with a femoral catheter placed in the inferior vena cava, who developed an acute abdomen as a result of late retroperitoneal extravasation of parenteral nutrition. CASE REPORT: A pre-term infant receiving total parenteral nutrition via a femoral venous catheter developed an acute abdomen five days after the catheter placement. Extravascular catheter migration to the retroperitoneal space and extravasation of the infusate was diagnosed by contrast injection. Withdrawal of the catheter was followed by prompt cessation of the signs and full recovery from the acute abdomen, without the need for surgery. A review of the literature is presented, emphasizing the clinical and therapeutic aspects of this unusual complication from femoral venous catheterization and parenteral nutrition.

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Sliding of the skin over subcutaneous tissue is another important factor in epidural catheter migration

Canadian Journal of Anesthesia/Journal canadien d anesthésie ◽

10.1007/bf03017395 ◽

2002 ◽

Vol 49 (6) ◽

pp. 634-634 ◽

Cited By ~ 21

Author(s):

Mohammad Faheem ◽

Nadeem Sarwar

Keyword(s):

Epidural Catheter ◽

Subcutaneous Tissue ◽

Catheter Migration

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Contributing Factors for a Late Spontaneous Peripherally Inserted Central Catheter Migration: A Case Report and Review of Literature

The Journal of Vascular Access ◽

10.5301/jva.5000337 ◽

2015 ◽

Vol 16 (3) ◽

pp. 178-182 ◽

Cited By ~ 3

Author(s):

Paolo Beccaria ◽

Simona Silvetti ◽

Milena Mucci ◽

Ivana Battini ◽

Paola Brambilla ◽

...

Keyword(s):

Case Report ◽

Peripherally Inserted Central Catheter ◽

Central Catheter ◽

Review Of Literature ◽

Contributing Factors ◽

Catheter Migration

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Efficiency and safety of using a peritoneal dialysis catheter weighted with a stainless steel ballast : the Limousin experience

Bulletin de la Dialyse à Domicile ◽

10.25796/bdd.v2i4.23873 ◽

2019 ◽

Vol 2 (4) ◽

pp. 193-200

Author(s):

Bénédicte Larivière-Durgueil ◽

Rémi Boudet ◽

Marie Essig ◽

Stéphane Bouvier ◽

Ali Abdeh ◽

...

Keyword(s):

Stainless Steel ◽

Peritoneal Dialysis ◽

Infectious Complications ◽

Control Group ◽

Peritoneal Dialysis Catheter ◽

Causal Factors ◽

Catheter Migration ◽

Mechanical Complications ◽

Increased Risk ◽

One Year

Objective: To assess the recurrence of PD catheter migration after the introduction of a walnut ballast. Materials and Methods: Retrospective study from 1999 to 2014 of PD patients followed in Limousin. Were compared two groups: ballast group (patients who benefited from the establishment of stainless steel ballast at the intraperitoneal catheter extremity) with 26 patients and control group with 204 patients. The primary endpoint was the occurrence of an episode catheter’s migration after ballast’s establishment. Secondary objectives were (i) to determine the causal factors leading to the catheter weighting, (ii) to ensure the safety of the procedure on the following criteria: infectious complications, mechanicals complications, epurations criteria, and catheter’s survival. Results: More than one year after the implementation of the ballast, no recurrent migration was observed in 86.6% of cases. It wasn’t found an increased risk of infections (OR = 0.5, 95% CI [0.22, 1.13]) or mechanical complications (OR = 1.77- 95% CI [0.77, 4.05]) between the two groups. The adequation criteria were similar: KT / V total : 2.37 in the control group and 2.28 in the ballast group (p = 0.63). The survival of the ballast catheter was comparable among the two groups (p = 0.983). Three causal factors that led to the ballast were identified: automated peritoneal dialysis (APD) (OR = 0.38, 95% CI [0.16, 0.9]), the failure from the first use of the catheter (OR = 19.48, CI 95 % [7.67, 49.48]) and the incarceration of the omentum (OR = 15.84, 95% CI [5.81, 43.21]). Conclusion: The ballast used in these study appears to prevent recurrence of migration, without any impact in terms of infectious or mechanical complications, or on the dialysis criteria or on catheter’s survival. However this catheter does currently not have an EC authorization

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CSF hydrothorax without intrathoracic catheter migration in children with ventriculoperitoneal shunt

Surgical Neurology International ◽

10.4103/2152-7806.161408 ◽

2015 ◽

Vol 6 (12) ◽

pp. 330 ◽

Cited By ~ 6

Author(s):

Joon-Hyung Kim ◽

DavidF Bauer ◽

DavidW Roberts

Keyword(s):

Ventriculoperitoneal Shunt ◽

Catheter Migration

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No Going Back: Advantages of Ultrasound-Guided Upper Arm PICC Placement

Journal of the Association for Vascular Access ◽

10.2309/java.13-4-6 ◽

2008 ◽

Vol 13 (4) ◽

pp. 191-197 ◽

Cited By ~ 24

Author(s):

Liz Simcock

Keyword(s):

Success Rate ◽

Ultrasound Guided ◽

Upper Arm ◽

Exit Site Infection ◽

Catheter Migration ◽

Audit Data ◽

Change In Practice ◽

Before And After ◽

The Usa ◽

The Uk

Abstract Background, Method and Purpose: The use of peripherally inserted central catheters (PICCs) in the UK has been steadily increasing since they were first introduced in 1995. Ultrasound-guided upper arm placement - which has become prevalent in the USA over the last few years - is gradually attracting interest amongst PICC placers in the UK. The literature shows that upper arm placement improves insertion success rate (Hockley, Hamilton, Young, Chapman, Taylor, Creed et al, 2007; Hunter, 2007; Krstenic, Brealey, Gaikwad & Maraveyas, 2008) and patient satisfaction (Polak, Anderson, Hagspiel, & Mungovan, 1998; Sansivero, 2000; McMahon, 2002). Following a switch to upper arm placement at her institution, the author examined audit data from before and after the change in practice to see if there were other measurable clinical improvements. Results: Comparison of data from a four-year period shows that upper arm placement in our patient population increased insertion success rate and line longevity, while reducing exit site infection, thrombosis and catheter migration. Implications for Practice: This data shows that ultrasound-guided upper-arm placement improves patient outcomes. PICC placers still using the more traditional antecubital approach should consider a change in practice.

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