Tip Migration Post-Contrast Pressure Injection Through Pressure-Injectable Peripherally Inserted Central Catheters Causing Vascular Injury: A Report of 3 Cases

Abstract

Pressure-injectable peripherally inserted central catheters are now widely used for contrast pressure injections for CT scans. While they are generally regarded as safe, they are not free from complication. In this case review, we present three cases of PICC tips migrating post-CT contrast pressure injection including into the pleural cavity and subsequent complications, to raise awareness of this complication not previously encountered in our institution. Level of Evidence Level 4, Case Series.

Femorally inserted central catheter, migration and catheter damage during contrast media injection: A case report

“…It would be desirable a post procedural tip location protocol after contrast media injection to identify any unrecognized migrations of the catheter, US guided tip location could represent an unexpansive and quick opportunity. As for PICCs, [5][6][7] the same migration risk can also be assumed for the FICCs, especially if the catheter is very flexible.…”

“…[2][3][4] They are thinner, longer, and more flexible so for FICCs too, migration of the catheter tip during contrast media injection is possible as may happen to PICCs. [5][6][7]…”