We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Catheter Migration During Home Hyperalimentation

James L. Mullen, MD; Juan Oleaga, MD; Ernest J. Ring, MD
JAMA. 1977;238(18):1946-1947. doi:10.1001/jama.1977.03280190048028.
Text Size: A A A
Published online


SILASTIC catheters for long-term central venous angio-access have contributed to the efficacy of home hyperalimentation. They have decided advantages over conventional polyethylene and polyvinyl catheters, including flexibility without kinking, minimal thrombogenicity, and few septic complications.1

Our case report details the migration of a Silastic catheter after long-term permanent implantation, its clinical sequelae, and necessary therapeutic maneuvers.

Report of a Case  A 23-year-old man was admitted from another hospital after initial treatment for gangrenous midgut volvulus secondary to malrotation of the colon. After resolution of numerous complications, intestinal continuity was reestablished with a duodenocolostomy. Long-term home hyperalimentation was instituted after placement of a permanent Broviac Silastic subclavian catheter via the right cephalic vein. Catheter position in the right atrium was confirmed postoperatively by x-ray examination.After five months of asymptomatic, uneventful home parenteral nutrition, the patient noted the gradual onset of right-sided cervical and suprascapular pain, consistently accentuated by the


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.