A peripherally inserted central vein catheter fractured and slid into the right pulmonary artery: A case report

Meng Hu , Zhi-Cheng Ma , Jie Zhang , Fang Hu , Xiao-Yu Liang , Xiang-Chen Dai , Hai-Lun Fan , Jie-Chang Zhu
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引用次数: 2

Abstract

Catheter fracture is a rare but serious complication of a peripherally inserted central catheter (PICC). An adolescent patient was sent to Tianjin Medical University General Hospital (Tianjin, China) because the PICC was fractured when removed by a nurse. Chest X-ray showed that the PICC fragment slid into the right pulmonary artery. Through emergency surgery, the remainder of the PICC was successfully retrieved by an interventional operation percutaneously via the right femoral vein. PICC fracture is less common and always without significant discomfort if not found timely, and it may lead to serious complications, such as pulmonary embolism, and even death. Thus, nurses, patients and their family members should pay enough attention to the daily maintenance of PICC and have a deep understanding of the reasons associated with PICC fracture as well as how to prevent it. Interventional operation is minimally invasive, which is a good choice for the removal of intravascular foreign bodies, leading to fewer complications and a good prognosis.

外周插入中心静脉导管断裂滑入右肺动脉1例
导尿管断裂是一种罕见但严重的外周置管并发症。一名青少年患者被送往天津医科大学总医院(中国天津),因为护士在取下PICC时骨折。胸部x线片显示PICC碎片滑入右肺动脉。通过紧急手术,经右股静脉经皮介入手术成功地取出了剩余的PICC。PICC骨折不常见,如果不及时发现,通常没有明显的不适,但可能导致严重的并发症,如肺栓塞,甚至死亡。因此,护士、患者及其家属应足够重视人保骨的日常保养,深刻了解人保骨骨折的相关原因及如何预防。介入手术具有微创性,是清除血管内异物的良好选择,并发症少,预后好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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