Percutaneous transfemoral repositioning of malpositioned central venous catheters.

Primary misplaced or secondary flipped implanted catheters are located mostly in the right jugular vein. We demonstrate an effective method to replace fix implanted catheters such as Ports, Grochomg or Hickman catheters. Using a femoral venous approach, replacement into the superior vena cava can easily be done with a Sidewinder 1 catheter which is hooked over the misplaced central venous approach. In all our patients the method was successful. The repositioning technique described is simple, fast and has low costs. We can keep sterile conditions and do not need to solve the catheters' fixation.

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“…On the other hand, it is often unsuccessful because the guidewire follows the catheter up into the jugular vein [3].…”

Section: Discussionmentioning

confidence: 99%

“…It also seldom exerts sufficient force to reposition large-caliber catheters and may cause vessel damage or even rupture if the catheter tip is located in a small vein [3].…”

Section: Discussionmentioning

confidence: 99%

Repositioning of malpositioned or flipped central venous catheters

et al. 2002

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“…3 Various methods of repositioning are described in the literature, which includes direct manipulation by guide wire or tip-deflecting wire manipulation via transfemoral venous approach and by injection of contrast or saline. 4 We hereby report an interesting case; presented as sudden catastrophe, demonstrating malpositioning of catheter tip. She underwent venous access port insertion without image guidance along with a planned elective procedure of Right MRM (Modified Radical Mastectomy) under general anaesthesia.…”

Section: Introduction:-mentioning

confidence: 88%

Vats Assisted Repositioning of a Central Venous Access Device Catheter Causing Inadvertent SVC Puncture: A Rare Case Report and Literature Review.

Ghuge¹,

Singh²,

Tiwari³

et al. 2016

IJAR

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“…With the exception of catheter placement through a previously unused right internal jugular vein, blind positioning of the catheter tip is fraught with problems. Usually a catheter introduced via the right internal jugular vein will find its way into the superior vena cava, but if any other access route is used, or if there is a central vein stenosis due to previous catheterization, the catheter will frequently migrate into an unsatisfactory position unless fluoroscopic guidance is used (40). There are no randomized trials comparing blind insertion with fluoroscopic guidance.…”

Section: Tunneled Dialysis Linesmentioning

confidence: 99%