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Management of PICC fracture

"This case suggests that silicone-based PICCs are fragile and have a high risk of spontaneous dislocation. Therefore, they should be replaced with polyurethane-based PICCs" Zeng et al (2024).

"This case suggests that silicone-based PICCs are fragile and have a high risk of spontaneous dislocation. Therefore, they should be replaced with polyurethane-based PICCs" Zeng et al (2024).

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Management of PICC fracture

Abstract:

A peripherally inserted central catheter (PICC) is commonly used for fluid infusion in patients. However, rupture is one of the most serious complications associated with PICC placement. We investigated an 81-year-old patient who experienced a catheter break nearly 11 months after the placement of PICC, followed by a catheter break during catheter capture that was removed after accessing the superior vena cava with a catcher. This case suggests that silicone-based PICCs are fragile and have a high risk of spontaneous dislocation. Therefore, they should be replaced with polyurethane-based PICCs.


Reference:

Zeng F, Dai J, Zhang X, Guo Y, Wang H, Shen J. Management of PICC rupture in a multidisciplinary collaborative model: A case report. J Vasc Access. 2024 May 27:11297298241254564. doi: 10.1177/11297298241254564. Epub ahead of print. PMID: 38800968.

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