Peripherally Inserted Central Catheter Malfunction / Malposition / Misposition / Misplacement

  • Etiology: placed in patients who need central venous access
  • Imaging: normal peripherally inserted central catheter (PICC) tip positions:
    — Scalp PICC and upper extremity PICC tip in the superior vena cava
    — Lower extremity PICC tip in the inferior vena cava
  • Complications: Scalp or upper extremity PICC catheter tip not positioned in the superior vena cava, lower extremity PICC catheter tip not positioned within the inferior vena cava or positioned within the spinal canal, any PICC catheter tip in the right atrium, catheter tip thrombosis which can extend into any adjacent vein, perforation of vessel during catheter placement
  • Treatment: repositioning or removal of malpositioned catheter
  • Clinical: upper extremity PICC catheter tip position can vary depending on arm position

Cases of Peripherally Inserted Central Catheter Malfunction / Malposition / Misposition / Misplacement