Beccaria Paolo, Silvetti Simona, Mucci Milena, Battini Ivana, Brambilla Paola, Zangrillo Alberto
1 Department of Anaesthesia and Intensive Care, San Raffaele Scientific Institute, Milan - Italy.
J Vasc Access. 2015 May-Jun;16(3):178-82. doi: 10.5301/jva.5000337. Epub 2015 Mar 3.
Peripherally inserted central catheters (PICCs) are associated with some adverse events, the most frequent are thrombosis, tip catheter malposition and spontaneous late migration. However, the cause of spontaneous late migration in most cases remains unknown. We carried out this study to add data to the literature on PICCs late spontaneous migration.
We conducted a systematic review of all manuscripts describing PICC spontaneous late migration in adult populations and we also described two cases of late PICCs migration.
We identified five studies for a total of 58 cases of PICC late migration. In our two cases, patients' activity is an important contributing factor for late spontaneous PICC migration.
To avoid late catheter misplacement, initial malposition should be immediately identified and promptly corrected and a detailed patients training should be carried out.
经外周静脉穿刺中心静脉导管（PICC）与一些不良事件相关，最常见的是血栓形成、导管尖端位置不当和自发性晚期移位。然而，大多数情况下自发性晚期移位的原因尚不清楚。我们开展这项研究以补充关于PICC晚期自发性移位的文献资料。
我们对所有描述成人群体中PICC自发性晚期移位的手稿进行了系统综述，并且还描述了两例PICC晚期移位病例。
我们确定了五项研究，共58例PICC晚期移位病例。在我们的两例病例中，患者活动是PICC晚期自发性移位的一个重要促成因素。
为避免导管晚期位置不当，应立即识别并及时纠正初始位置不当，并对患者进行详细培训。
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