Presentation
Requires long-term antibiotics for wound infection. Post PICC insertion.
Patient Data
Age: 60 years
Gender: Female
From the case:
Malpositioned PICC
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Left PICC heads up the left internal jugular vein, tip is not visualized. This is not in an appropriate position for use.
From the case:
Malpositioned PICC
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A cropped and highlighted view of the line in the internal jugular vein.
Case Discussion
Image-guidance greatly reduces the rate of malpositioned PICCs. The correct position of the tip is in the superior vena cava or at the cavo-atrial junction (depending on institutional policy).
This PICC was subsequently successfully repositioned.
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