Table 1.
Central vascular access device timeline
| Date inserted | CVAD type inserted and site | Complications (not resulting in CVAD removal) during CVAD dwell | Date CVAD removed | Complication and reason for CVAD removal | Time period CVAD successful |
| 18 June 2014 | PICC; left brachial |
– | 6 August 2014 | Complete occlusion | 49 days |
| 7 August 2014 | PICC; right brachial |
– | 18 November 2014 | Dislodged; tip no longer in central position | 103 days |
| 18 November 2014 | Tunnelled, cuffed CVAD; left internal jugular |
6 March 2015: occluded right subclavian vein 7 March 2015: tip position in right atrium, traversing tricuspid valve. Reposition required |
2 June 2015 | CVAD blocked, right chest swelling. Internal catheter fracture, confirmed by contrast study |
196 days |
| 7 June 2015 | Tunnelled, cuffed CVAD; right internal jugular |
5 June 2015: occluded true right subclavian vein; multiple collaterals formed 9 June 2015: partial CVAD dislodgement (from SVC/RA junction to proximal SVC) |
29 August 2015 | Dislodged; tip no longer in central position | 83 days |
| 29 August 2015 | Tunnelled, cuffed CVAD; right internal jugular (rewire) |
– | 14 October 2015 | CVAD-associated bloodstream infection (Klebsiella pneumoniae) and catheter fracture | 46 days |
| 25 October 2015 | PICC; right brachial |
– | 26 March 2016 | Dislodged; tip no longer in central position Unsuccessful PICC replacement |
153 days |
| 28 March 2016 | Non-tunnelled CVAD; right internal jugular |
– | 30 March 2016 | Elective replacement of an inappropriate device | 2 days |
| 30 March 2016 | Tunnelled, cuffed CVAD; right internal jugular |
– | 3 April 2016 | Catheter fracture; repair unsuccessful Required prophylactic intravenous antibiotics, PIVC insertion, partial PN only |
4 days |
| 4 April 2016 | Tunnelled, cuffed CVAD; right internal jugular (rewire) |
6 June 2016: Catheter fracture; repaired successfully Required prophylactic intravenous antibiotics, PIVC insertion, partial PN only |
6 October 2016 | Catheter fracture; repair unsuccessful Required prophylactic intravenous antibiotics, PIVC insertion, partial PN only |
185 days |
| 7 October 2016 | Tunnelled, cuffed CVAD; right internal jugular (rewire) |
Currently in situ |
CVAD, central venous access device; PICC, peripherally inserted central catheter; PIVC, peripheral intravenous catheter; PN, parenteral nutrition; RA, right atrium; SVC, superior vena cava.