Embolic strokes after peripherally inserted central catheter placement

Ann Vasc Surg. 2010 Nov;24(8):1133.e1-4. doi: 10.1016/j.avsg.2010.05.024.

Abstract

Peripherally inserted central catheters (PICCs) have become popular for a range of indications in both inpatient and outpatient settings. Though PICCs are generally safe, they can be associated with a variety of complications. We present here a case with embolic strokes due to inadvertent arterial placement of PICC, an uncommon but potentially life-threatening complication. A high clinical suspicion with critical evaluation of radiographs is indispensable for suspecting misplaced PICCs.

Publication types

  • Case Reports

MeSH terms

  • Angiography, Digital Subtraction
  • Brachial Artery / diagnostic imaging
  • Brachial Artery / injuries*
  • Brachial Artery / surgery
  • Catheterization, Central Venous / adverse effects*
  • Catheterization, Central Venous / instrumentation
  • Catheterization, Peripheral / adverse effects*
  • Catheterization, Peripheral / instrumentation
  • Catheters, Indwelling / adverse effects*
  • Device Removal
  • Echocardiography
  • Embolectomy
  • Embolism / diagnosis
  • Embolism / etiology*
  • Female
  • Humans
  • Ischemic Attack, Transient / diagnosis
  • Ischemic Attack, Transient / etiology*
  • Magnetic Resonance Imaging
  • Middle Aged
  • Pericardium / transplantation
  • Stroke / diagnosis
  • Stroke / etiology*
  • Thrombectomy
  • Treatment Outcome