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"Tip migration was suspected because of malfunction (persistent withdrawal occlusion) and diagnosis established after ultrasound examination and chest x-ray" D'Arrigo et al (2021).

PICC-port malposition and exercise

Abstract:

Physical exercise is often encouraged in cancer patients, mainly for the purpose of rehabilitation and for its psychological benefit. Some authors also suggest that exercise-specially in patient with peripherally inserted central venous access devices-may contribute to reduce the risk of catheter-related thrombosis. Still, the impact of physical exercise on the risk of device-related complications is not yet defined.We report a case of secondary migration of the tip of an arm port, caused by high-intensity exercise in a woman undergoing chemotherapy because of ovarian cancer. Tip migration was suspected because of malfunction (persistent withdrawal occlusion) and diagnosis established after ultrasound examination and chest x-ray.Even if exercise may yield benefit in the cancer patient on chemotherapy, the risk of mechanical complication of the venous access device-such as tip migration-should be considered in the case of high-intensity exercise.


Reference:

D’Arrigo S, Annetta MG, Musarò A, Distefano M, Pittiruti M. Secondary malposition of a PICC-port due to heavy physical exercise: A case report. J Vasc Access. 2021 Aug 16:11297298211039445. doi: 10.1177/11297298211039445. Epub ahead of print. PMID: 34399639.