Malposition of peripherally inserted central catheter into the right inferior thyroid vein: A case report

Yuri Imakiire, Tomoaki Yanaru, Hitomi Kumano, Erisa Nakamori, Ken Yamaura

Research output: Contribution to journalArticle

Abstract

Objective: Unusual or unexpected effect of treatment Background: A peripherally inserted central catheter (PICC) causes few serious complications but can be malpositioned. To avoid malpositioning, ultrasound guidance is widely used. Here, we report the case of a patient who received a PICC that was inserted under ultrasound guidance, but the catheter tip accidentally entered the right inferior thyroid vein. Case Report: A 58-year-old woman was scheduled for reconstructive mammoplasty. After general anesthesia, a PICC was inserted via the right basilic vein. The PICC was inserted under guidance using a portable ultrasound machine with a high-frequency linear transducer. The tip of the guide wire and catheter were confirmed by ultrasound to be in the right subclavian vein, not in the right internal jugular vein, during insertion. However, the chest X-ray performed after the PICC insertion showed that the catheter had moved into the right inferior thyroid vein. Conclusions: Malpositioning of a PICC can occur into any small vein. Ultrasound should be used not only to avoid malpositioning into the IJV, but also to confirm the proper position of the catheter tip during PICC insertion.

Original languageEnglish
Pages (from-to)491-493
Number of pages3
JournalAmerican Journal of Case Reports
Volume19
DOIs
Publication statusPublished - Apr 26 2018

Fingerprint

Veins
Thyroid Gland
Catheters
Subclavian Vein
Mammaplasty
Jugular Veins
Transducers
General Anesthesia
Thorax
X-Rays

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Malposition of peripherally inserted central catheter into the right inferior thyroid vein : A case report. / Imakiire, Yuri; Yanaru, Tomoaki; Kumano, Hitomi; Nakamori, Erisa; Yamaura, Ken.

In: American Journal of Case Reports, Vol. 19, 26.04.2018, p. 491-493.

Research output: Contribution to journalArticle

Imakiire, Yuri ; Yanaru, Tomoaki ; Kumano, Hitomi ; Nakamori, Erisa ; Yamaura, Ken. / Malposition of peripherally inserted central catheter into the right inferior thyroid vein : A case report. In: American Journal of Case Reports. 2018 ; Vol. 19. pp. 491-493.
@article{f45b27cab1de4af09420de4a60b6f7d9,
title = "Malposition of peripherally inserted central catheter into the right inferior thyroid vein: A case report",
abstract = "Objective: Unusual or unexpected effect of treatment Background: A peripherally inserted central catheter (PICC) causes few serious complications but can be malpositioned. To avoid malpositioning, ultrasound guidance is widely used. Here, we report the case of a patient who received a PICC that was inserted under ultrasound guidance, but the catheter tip accidentally entered the right inferior thyroid vein. Case Report: A 58-year-old woman was scheduled for reconstructive mammoplasty. After general anesthesia, a PICC was inserted via the right basilic vein. The PICC was inserted under guidance using a portable ultrasound machine with a high-frequency linear transducer. The tip of the guide wire and catheter were confirmed by ultrasound to be in the right subclavian vein, not in the right internal jugular vein, during insertion. However, the chest X-ray performed after the PICC insertion showed that the catheter had moved into the right inferior thyroid vein. Conclusions: Malpositioning of a PICC can occur into any small vein. Ultrasound should be used not only to avoid malpositioning into the IJV, but also to confirm the proper position of the catheter tip during PICC insertion.",
author = "Yuri Imakiire and Tomoaki Yanaru and Hitomi Kumano and Erisa Nakamori and Ken Yamaura",
year = "2018",
month = "4",
day = "26",
doi = "10.12659/AJCR.908636",
language = "English",
volume = "19",
pages = "491--493",
journal = "American Journal of Case Reports",
issn = "1941-5923",
publisher = "International Scientific Literature, Inc",

}

TY - JOUR

T1 - Malposition of peripherally inserted central catheter into the right inferior thyroid vein

T2 - A case report

AU - Imakiire, Yuri

AU - Yanaru, Tomoaki

AU - Kumano, Hitomi

AU - Nakamori, Erisa

AU - Yamaura, Ken

PY - 2018/4/26

Y1 - 2018/4/26

N2 - Objective: Unusual or unexpected effect of treatment Background: A peripherally inserted central catheter (PICC) causes few serious complications but can be malpositioned. To avoid malpositioning, ultrasound guidance is widely used. Here, we report the case of a patient who received a PICC that was inserted under ultrasound guidance, but the catheter tip accidentally entered the right inferior thyroid vein. Case Report: A 58-year-old woman was scheduled for reconstructive mammoplasty. After general anesthesia, a PICC was inserted via the right basilic vein. The PICC was inserted under guidance using a portable ultrasound machine with a high-frequency linear transducer. The tip of the guide wire and catheter were confirmed by ultrasound to be in the right subclavian vein, not in the right internal jugular vein, during insertion. However, the chest X-ray performed after the PICC insertion showed that the catheter had moved into the right inferior thyroid vein. Conclusions: Malpositioning of a PICC can occur into any small vein. Ultrasound should be used not only to avoid malpositioning into the IJV, but also to confirm the proper position of the catheter tip during PICC insertion.

AB - Objective: Unusual or unexpected effect of treatment Background: A peripherally inserted central catheter (PICC) causes few serious complications but can be malpositioned. To avoid malpositioning, ultrasound guidance is widely used. Here, we report the case of a patient who received a PICC that was inserted under ultrasound guidance, but the catheter tip accidentally entered the right inferior thyroid vein. Case Report: A 58-year-old woman was scheduled for reconstructive mammoplasty. After general anesthesia, a PICC was inserted via the right basilic vein. The PICC was inserted under guidance using a portable ultrasound machine with a high-frequency linear transducer. The tip of the guide wire and catheter were confirmed by ultrasound to be in the right subclavian vein, not in the right internal jugular vein, during insertion. However, the chest X-ray performed after the PICC insertion showed that the catheter had moved into the right inferior thyroid vein. Conclusions: Malpositioning of a PICC can occur into any small vein. Ultrasound should be used not only to avoid malpositioning into the IJV, but also to confirm the proper position of the catheter tip during PICC insertion.

UR - http://www.scopus.com/inward/record.url?scp=85045963005&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85045963005&partnerID=8YFLogxK

U2 - 10.12659/AJCR.908636

DO - 10.12659/AJCR.908636

M3 - Article

C2 - 29695685

AN - SCOPUS:85045963005

VL - 19

SP - 491

EP - 493

JO - American Journal of Case Reports

JF - American Journal of Case Reports

SN - 1941-5923

ER -