Key result
A peripherally inserted central catheter placed in a 31-year-old female migrated likely into the azygos vein one day after placement, leading to loss of function.
Case Report (n=1)
This case highlights the potential for PICC line migration into the azygos vein and its conservative management.
Supports vigilance for early PICC dysfunction; hypothesis-generating for migration incidence.
A 31-year-old female patient with systolic heart failure (ejection fraction of 30%) and automatic implantable cardioverter-defibrillator (AICD) was admitted to the hospital with sepsis from Staphylococcus hominis and Staphylococcus capitis bacteraemia. A transesophageal echocardiogram showed AICD lead vegetation. Subsequently, the AICD was replaced. A peripherally inserted central catheter (PICC) was placed through the left basilic vein due to difficult intravenous access. Initially, fluoroscopy (figure 1) and chest X-ray (figure 2) confirmed appropriate position of the catheter tip in the superior vena cava (SVC). A day after placement, the PICC line stopped functioning. A repeat chest X-ray (figure 3) at this time revealed the catheter tip going likely dorsally over the right main stem bronchus. The official radiology …
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Talari et al. (2016) conducted a case report in PICC line migration (n=1). Peripherally inserted central catheter (PICC) was evaluated. A peripherally inserted central catheter placed in a 31-year-old female migrated likely into the azygos vein one day after placement, leading to loss of function.
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