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

2021 ◽  
Vol 09 (10) ◽  
Author(s):  
Dr Shashikant Singh
Keyword(s):  
Pulmonary Artery ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Successful Retrieval

scholarly journals A Novel Two-Step Technique for Retrieving Fractured Peripherally Inserted Central Catheter Segments Migrating into the Heart or the Pulmonary Artery

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Juan Peng ◽  
Xiao-Ming Zhang ◽  
Lin Yang ◽  
Hao Xu ◽  
Nan-Dong Miao ◽  
...  
Keyword(s):  
Pulmonary Artery ◽  
Interventional Procedure ◽  
Femoral Vein ◽  
Vena Cava ◽  
Percutaneous Technique ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Percutaneous Retrieval ◽  
Vein Access ◽  
Ewing’S Tumor

Objective. To report the experience of a percutaneous technique for retrieving fractured peripherally inserted central catheter (PICC) segments migrating into the heart or the pulmonary artery.Method. From April 2013 to July 2015, we performed percutaneous retrieval of fractured PICC segments migrating into the heart or the pulmonary artery in five cancer patients who had undergone chemotherapy via PICC. The fractures were diagnosed with chest plain radiography. The patients included three cases of breast cancer, one case of rectal cancer, and one case of lower limb Ewing’s tumor. The fractures were retained in the vessels of the patients for 1 to 3 days. All the fractures were retrieved by using a novel two-step technique in the digital subtraction angiography (DSA) suite. This two-step technique involves inserting a pigtail catheter to the heart or the pulmonary artery to grasp the fractured catheter fragment and bring it to the lower segment of the inferior vena cava, followed by grasping and removing the catheter fragment with a retrieval loop system of the vena cava filter retrieval set.Result. The fractured PICC segments were removed successfully in all five patients via unilateral (four patients) or bilateral (one patient) femoral vein access. No complications occurred during the interventional procedure.Conclusion. Percutaneous retrieval can be a safe, convenient, and minimally invasive method for the removal of fractured PICC segments. The technique reported in this paper will be applicable for the retrieval of fractured PICC segments and other catheter fragments migrating into the heart or the pulmonary artery.

Case Study of a Peripherally Inserted Central Catheter's Migration into the Pulmonary Artery

2012 ◽  
Vol 17 (3) ◽  
pp. 131-134
Author(s):  
Rosanna Patrona-Aurand ◽  
Leanne Schubert
Keyword(s):  
Pulmonary Artery ◽  
Distal Portion ◽  
Medical Residents ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Distal Catheter ◽  
Untoward Event ◽  
Medical Supplies ◽  
Trained Personnel

Abstract An untoward event took place in Australia in 2011 involving a patient whose entire peripherally inserted central catheter (PICC) migrated into his pulmonary artery. At this particular rural hospital, a small vascular access team was initially formed; however, the PICC insertion procedure was taken over by a physician intensivist and his medical residents, who learned the procedure from him during their 3-month rotations. The distal portion of the patient's PICC, attached initially to a distal catheter-stabilizing device, dislodged and was drawn into the vein. The patient's PICC, now in his pulmonary artery, was retrieved via interventional radiology and the patient experienced no serious side effects from this event. This case highlights the importance of using only highly trained personnel who are familiar with the medical supplies to insert PICCs.

scholarly journals Rescue of a patient with a 50 cm broken PICC tube retracted and wrapped in pulmonary artery: a case report

2021 ◽  
Vol 8 (4) ◽  
pp. 445-450
Author(s):  
Sha Yang ◽  
Ren-Tao Yu ◽  
Hui-Lan Zhang ◽  
Xue Jiang ◽  
Jian-Ping You
Keyword(s):  
Chronic Hepatitis ◽  
Case Report ◽  
Pulmonary Artery ◽  
First Aid ◽  
Decompensated Cirrhosis ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Foreign Matter ◽  
X Ray ◽  
Patient Concerns

Abstract Objective With the increasing use of a peripherally inserted central catheter (PICC) in clinical application, the breaking of the PICC is increasing as well, which would turn into the emboli and drift to the heart and pulmonary artery, causing severe consequences. However, few cases have been reported on the rescue of patients with a broken PICC. Patient concerns A 33-year-old man, diagnosed with chronic hepatitis B-related decompensated cirrhosis and cryptococcal meningitis, was treated with amphotericin B combined with flucytosine and fluconazole by means of PICC catheterization. The patient was discharged with a catheter; when he returned for re-examination, a 50cm length of PICC broke and slipped into the vein after his sudden dysphoria. First aid was immediately administered, and then the intervention therapy to extricate the tube, including pulmonary artery angiography and intravascular removal of foreign matter, was performed based on the consensus of the in-hospital vein treatment group. At last, the broken PICC fragment was successfully taken out of the vessel. Re-examination after surgery showed that he recovered well. Conclusions Once the catheter is broken, the X-ray examination should be performed at the first instance and re-examined frequently. Moreover, the involvement of a multidisciplinary team should be formed to decide the appropriate method of treatment to ensure a successful rescue.

A Unique Case of Cutaneous Cunninghamella infection in an Immunocompromised Patient (Preprint)

2020 ◽  
Author(s):  
Mauricio Portillo ◽  
Shyam Allamaneni ◽  
Richard Goodman
Keyword(s):  
Fungal Infections ◽  
Immunocompromised Patient ◽  
Lymphocytic Leukemia ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Unique Case ◽  
Systemic Complications ◽  
Prompt Treatment ◽  
Mode Of Transmission ◽  
And Control

UNSTRUCTURED Cunninghamella species are an extremely rare cause of fungal infections. The usual mode of transmission is through inhalation however rare cases of cutaneous spread have been reported. The objective of this clinical case report is to highlight the uniqueness of which the patient acquired the infection, the progression, and control of it. A 57-year-old male with chronic lymphocytic leukemia was found to have an abscess next to his peripherally inserted central catheter (PICC) line. The abscess culture grew back Cunninghamella and was debrided and treated with a novel antifungal. The fungal infection was controlled and the total timeframe took 28 days. Rapid recognition and prompt treatment demonstrate the prevention of rapidly progressive angioinvasian and further systemic complications. This case also proves that a novel antifungal may be appropriate in controlling the spread of Cunninghamella species.

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