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Removal of fractured neonatal PICC

"An infant with a corrected gestational age of 38 weeks, weighing 3.1 kg, was referred to our pediatric surgical department because of a fractured peripherally inserted central venous catheter in the left lower limb with the end retracting into the deep venous system" Visschers et al (2024).

"An infant with a corrected gestational age of 38 weeks, weighing 3.1 kg, was referred to our pediatric surgical department because of a fractured peripherally inserted central venous catheter in the left lower limb with the end retracting into the deep venous system" Visschers et al (2024).

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Removal of fractured neonatal PICC

Abstract:

An infant with a corrected gestational age of 38 weeks, weighing 3.1 kg, was referred to our pediatric surgical department because of a fractured peripherally inserted central venous catheter in the left lower limb with the end retracting into the deep venous system. An operation was undertaken to remove the PICC. Because the central venous catheter was, unintentionally, placed in the left small saphenous vein and thus positioned in the left femoral vein, the left great saphenous vein was incised to gain access. Subsequently, the catheter could be removed successfully. Fracturing of a peripherally inserted central venous catheter is a rare occurance. Removal depends on vessel size, location and experertise.


Reference:

Visschers RGJ, Niemarkt HJ, van Gemert WG, Raets MMA, van Laanen J. Removal of fractured peripherally inserted central venous catheter in the leg of a neonate. J Neonatal Perinatal Med. 2024 May 31. doi: 10.3233/NPM-240006. Epub ahead of print. PMID: 38848198.

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