{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T13:01:59Z","timestamp":1777726919188,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2023,5,1]],"date-time":"2023-05-01T00:00:00Z","timestamp":1682899200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Chongqing medical scientific research project (Joint project of Chongqing Health Commission and Science and Technology Bureau","award":["2020FYYX046"],"award-info":[{"award-number":["2020FYYX046"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:p>Peripherally inserted central venous catheters (PICCs) are widely used in cardiology because they are convenient, effective, and safe. However, PICC implantation in patients with mirror-image dextrocardia who have thoracic tumors has not yet been reported. In this case report, we describe a 46-year-old patient with lung cancer who had a thoracic inclination and left pulmonary artery compression of the superior vena cava. PICC implantation under B-ultrasound guidance was planned. Because of the anatomical differences caused by mirror-image dextrocardia, we investigated the optimal position and measurement method for the tip of the PICC according to the compression site of the vascular lumen through a multidisciplinary team approach. Electrocardiography-assisted tip positioning combined with postoperative chest X-ray positioning was performed for accurate positioning.<\/jats:p>","DOI":"10.1177\/03000605231169432","type":"journal-article","created":{"date-parts":[[2023,5,5]],"date-time":"2023-05-05T01:33:55Z","timestamp":1683250435000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Optimizing the tip position of a peripherally inserted central venous catheter under a multidisciplinary team approach in a patient with mirror-image dextrocardia: a case report"],"prefix":"10.1177","volume":"51","author":[{"given":"Xiaoju","family":"Zhu","sequence":"first","affiliation":[{"name":"Cancer Center, Daping Hospital, Army Medical University, Chongqing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan","family":"He","sequence":"additional","affiliation":[{"name":"Cancer Center, Daping Hospital, Army Medical University, Chongqing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming","family":"Fu","sequence":"additional","affiliation":[{"name":"Department of Respiratory, Daping Hospital, Army Medical University, Chongqing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chunhua","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Radiology, Daping Hospital, Army Medical University, Chongqing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7497-8007","authenticated-orcid":false,"given":"Na","family":"Peng","sequence":"additional","affiliation":[{"name":"Cancer Center, Daping Hospital, Army Medical University, Chongqing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,5,4]]},"reference":[{"key":"bibr1-03000605231169432","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-8628(19990611)84:5<460::AID-AJMG10>3.0.CO;2-L"},{"key":"bibr2-03000605231169432","doi-asserted-by":"publisher","DOI":"10.1111\/head.12246"},{"key":"bibr3-03000605231169432","unstructured":"National Association of Neonatal Nurses. 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