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{
    "pk": 470,
    "title": "Delayed Migration and Perforation of the Jugular Vein by a Peripherally Inserted Central Catheter",
    "subtitle": null,
    "abstract": "We report a case of peripherally inserted central catheter (PICC) migration and perforation of the left internal jugular vein in a home health setting in an 80-year-old female. A left sided PICC was placed for treatment of diverticulitis following hospital discharge. She complained of sudden onset left sided neck pain immediately after starting an infusion of vancomycin. In the emergency department the injury was identified by portable chest radiograph and computed tomography of her neck. Following removal of the line, she had an uneventful course. Emergency physicians should be aware of this possible PICC line complication.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/34t6h1d2",
    "frozenauthors": [
        {
            "first_name": "Joshua",
            "middle_name": "J.",
            "last_name": "Oliver",
            "name_suffix": "",
            "institution": "San Antonio Uniformed Services Health Education, Department of Emergency Medicine, Fort Sam Houston, Texas",
            "department": "None"
        },
        {
            "first_name": "R.",
            "middle_name": "Erik",
            "last_name": "Connor",
            "name_suffix": "",
            "institution": "San Antonio Uniformed Services Health Education, Department of Emergency Medicine, Fort Sam Houston, Texas",
            "department": "None"
        },
        {
            "first_name": "Jacob",
            "middle_name": "R.",
            "last_name": "Powell",
            "name_suffix": "",
            "institution": "San Antonio Uniformed Services Health Education, Department of Emergency Medicine, Fort Sam Houston, Texas",
            "department": "None"
        },
        {
            "first_name": "Jessica",
            "middle_name": "M.",
            "last_name": "Oliver",
            "name_suffix": "",
            "institution": "Baptist Health System at Mission Trails, Intensive Care Unit, Department of Critical Care Nursing, San Antonio, Texas",
            "department": "None"
        },
        {
            "first_name": "Brit",
            "middle_name": "",
            "last_name": "Long",
            "name_suffix": "",
            "institution": "San Antonio Uniformed Services Health Education, Department of Emergency Medicine, Fort Sam Houston, Texas",
            "department": "None"
        }
    ],
    "date_submitted": "2017-10-18T17:48:45Z",
    "date_accepted": "2017-10-18T17:48:45Z",
    "date_published": "2017-10-18T22:07:37Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/470/galley/234/download/"
        }
    ]
}