Title: Successful Retrieval of a Dismembered Peripherally inserted central catheter in the pulmonary artery: using two-step approach

Authors: Dr Shashikant Singh, Dr Puja Singh, Dr Tutan Das

 DOI: https://dx.doi.org/10.18535/jmscr/v9i10.03

Abstract

Introduction

One of the complication of PICC is that it get dismembered[1]. It is due to intermittent compression of PICC between 1st rib and clavicle and between costoclavicular ligament and subclavian muscle. Fouty percent of dismembered catheter experienced embolisation[2].

References

  1. Fazeny-D¨orner, C. Wenzel, A. Berzlanovich et al., “Central venous catheter pinch-off and fracture: recognition, prevention and Bmanagement,” Bone Marrow Transplantation, vol. 31, no. 10,pp. 927–930, 2003.
  2. H. Hinke, D. A. Zandt-Stastny, L. R. Gooodman, E. J.Quebbeman, E. A. Krzywda, and D. A. Andris, “Pinch-off syndrome: a complication of implantable subclavian venous access devices,” Radiology, vol. 177, no. 2, pp. 353–356, 1990.
  3. ¨Onal, B. Cos¸ kun,R. Karabulut, E. T. Ilgit, Z. T¨urkyilmaz, and K. S¨onmez, “Interventional radiological retrieval of embolized vascular access device fragments,” Diagnostic and Interventional Radiology, vol. 18, no. 1, pp. 87–91, 2012.
  4. W. Yedlicka Jr., J. E. Carlson, D.W. Hunter, W. R. Casta˜neda-Z´u˜niga, and K. Amplatz, “Nitinol gooseneck snare for removal of foreign bodies: experimental study and clinical evaluation,”Radiology, vol. 178, no. 3, pp. 691–693, 1991.
  5. Yokoi, S. Sumitsuji, H. Kaneda et al., “A novel homemadesnare, safe, economical and size-adjustable,” Euro Intervention, vol. 10, no. 11, pp. 1307–1310, 2015.

Corresponding Author

Dr Shashikant Singh