Change in Peripherally Inserted Central Catheter Tip Position with Abduction and Adduction of the Upper Extremity

Radiological and surgical placement of port devices: a 4-year institutional analysis of procedure performance, quality of life and cost in breast cancer patients

“…This enforce the data showing that thrombosis rates after arm port placement are equivalent to or better than the published data concerning the surgical cephalic vein cutdown series (for R port device: 0-3%) [10,[27][28][29] (for S port device: 5%) [4,5]. Supposed reasons are (1) a more little injury of the vein because the vein is chosen optimally by the phlebography (2) subclavicular vein has the disadvantage to show a hyperplasia of the intima for very little injuries.…”

“…The only case of ectopia in the percutaneous serie was explained by a unexpected descent of the catheter, while the operated arm was moved from the position of abduction to the adduction. The exact position of the catheter tip while the arm is in the abduction position and the straightness of the tunnelized portion of the catheter are required before the suture of the skin [28]. On the other side, the excessive increase of the catheter lying in the cava vein are often observed in case of subclavicular port device or pendular breast.…”

Central venous access: techniques and indications in oncology

“…6b) [28], central vein tortuosity (old obese patient, bulky mediastinal tumour; Fig. 5), when the patient changes from the supine to upright position [39,40] and during inspiration, expiration or coughing, and abduction of the patient's arm [41]. Those situations may lead to port Bone metastasis *Right IJV access has the highest (feasibility/procedural complication) ratio even in junior operators.…”

Migration Patterns of Peripherally Inserted Central Venous Catheters at 24 Hours Postinsertion in Neonates

“…It has been well documented in pediatric and adult literature that the PICC tip migrates secondary to abduction/ adduction at the shoulder and flexion/extension at the elbow. [11][12][13] In this study, we document the migration pattern of PICC, while controlling for the arm position at the time of X-ray.…”