Migration of central venous catheters: Implications for initial catheter tip positioning

Christopher M. Kowalski, John Kaufman, S. Mitchell Rivitz, Stuart C. Geller, Arthur C. Waltman

Research output: Contribution to journalArticle

94 Citations (Scopus)

Abstract

PURPOSE: To evaluate the change in position of chest wall central venous access catheters (CVACs) after placement. Complication rates associated with catheter tip position were reviewed. PATIENTS AND METHODS: Fifty patients (36 women, 14 men) with chest wall CVACs placed in the angiography suite were studied. Catheter migration was calculated as the difference between the carina-catheter tip measurements on immediate supine and upright postprocedure (within 24 hours) chest radiographs. Catheter-related complication data were gathered via telephone interview and review of the medical records. RESULTS: Peripheral catheter migration occurred in 49 of 50 patients (average, 3.2 cm ± 1.8); central catheter migration occurred in one of 50 patients (3.9 cm). Catheter type was the only significant factor that affected the amount of migration; side of insertion or the patient's gender were not significant. Catheter malfunction and symptomatic upper extremity venous thrombosis rates tended to be lower in patients with right atrial versus superior vena cava catheters (18% vs 34%), but differences were not significant (P = .202). CONCLUSION: Catheter migration after chest wall CVAC placement is a common event. The catheter tip should be initially positioned approximately 3-4 cm more centrally than the desired final position. Further study is necessary of catheter-related complication rates relative to the final position of the catheter tip.

Original languageEnglish (US)
Pages (from-to)443-447
Number of pages5
JournalJournal of Vascular and Interventional Radiology
Volume8
Issue number3
StatePublished - May 1997
Externally publishedYes

Fingerprint

Central Venous Catheters
Catheters
Thoracic Wall
Superior Vena Cava
Patient Rights
Upper Extremity
Venous Thrombosis
Medical Records
Angiography
Thorax

Keywords

  • Catheters and catheterization, central venous access
  • Catheters and catheterization, complications

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Migration of central venous catheters : Implications for initial catheter tip positioning. / Kowalski, Christopher M.; Kaufman, John; Rivitz, S. Mitchell; Geller, Stuart C.; Waltman, Arthur C.

In: Journal of Vascular and Interventional Radiology, Vol. 8, No. 3, 05.1997, p. 443-447.

Research output: Contribution to journalArticle

Kowalski, Christopher M. ; Kaufman, John ; Rivitz, S. Mitchell ; Geller, Stuart C. ; Waltman, Arthur C. / Migration of central venous catheters : Implications for initial catheter tip positioning. In: Journal of Vascular and Interventional Radiology. 1997 ; Vol. 8, No. 3. pp. 443-447.
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