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Case report demonstrates undetected catheter tip malposition into the internal mammary vein by chest radiography in a critically ill patient, highlighting the need for advanced tip location methods.
Central vascular access devices (CVADs) correct tip location is of paramount importance to avoid malposition related complications. Despite recent guidelines recommend avoiding postprocedure radiograph in favor of alternative tip location technology, chest X-rays are still widely used in clinical practice as a CVADs tip location method. We present a clinical case of a central inserted central catheter (CICC) malposition in the right internal mammary vein, erroneously interpreted by chest X-rays as correctly placed, in a critically ill patient.
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Pelagatti et al. (2022) studied this question.
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