Malpositioned permacath

Case contributed by Dr Henry Knipe



Patient Data

Age: 60
Gender: Female

The proximal permacath tip is malpositioned in the right internal jugular vein. 


Post manipulation in fluoroscopy

Permacath tips project in the SVC in an appropriate position for use. 

Case Discussion

Despite appropriate positioning at the cavo-atrial junction on supine fluoroscopy, the tip has migrated superiorly as demonstrated on the post-procedure erect chest x-ray. This often occurs in females with large breasts that migrate inferiorly when going from lying to sitting.

Fortunately in this case the permacath could be advanced under fluorscopy so the tips are in an appropriate position both supine and erect projections. 

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Case information

rID: 29930
Published: 6th Jul 2014
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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