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Minimally Invasive Repair of Azygos Catheter Migration 

Minimally Invasive Repair of Azygos Catheter Migration
Chapter:
Minimally Invasive Repair of Azygos Catheter Migration
Author(s):

Mikin V. Patel

, and Steven Zangan

DOI:
10.1093/med/9780199986071.003.0041
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date: 20 September 2020

Central venous catheters are frequently placed to facilitate the care of patients with multiple conditions, often via jugular approach. Occasionally, the catheter tip can migrate after placement and become positioned within the azygos arch. This abnormal catheter positioning can lead to an increased number of complications, including catheter malfunction, thrombosis, or even rupture of the azygos vein requiring surgical intervention. Although invasive repositioning of the catheter is always an option, minimally invasive options can be attempted to repair azygos catheter malposition. Fortunately, noninvasive maneuvers, including manipulation of the port on the skin and patient breathing instructions, can sometimes repair the malpositioned catheter.

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