Fig. 2.

Case of catheter migration.

A. We placed central venous port via right internal jugular vein in 68 year-old woman with its tip just below carina at T5 level. B. Chest radiograph in erect position showed that catheter is retracted and tip is located somewhere in brachiocephalic or internal jugular vein. Patient is obese with pendulous breasts. C. On fluoroscopy in supine position, catheter tip is further migrated cephalad into right internal jugular vein. Patient complained of neck pain on infusion. D. After removal of port, another port was implanted via left internal jugular vein, and tip was placed deeper in upper portion of right atrium. E. Chest radiograph in erect position revealed that catheter was once again retracted with its tip probably located in left brachiocephalic vein.