An Unusual Peripherally Inserted Central Catheter (PICC) Fractured in Vivo with Embolization Happened in a Child: A Case Report (Short Report)

Abstract

We report a case of a 7-year-old child who received a peripherally inserted central catheter (PICC) for chemotherapy. He suffered from an unusual PICC fracture in vivo with pulmonary embolism after eight circles of chemotherapeutic agents administered. In this case report, we review the literatures for the underlying pathophysiology of this uncommon phenomenon. IV nurses should consider the possibility of the infusion dysfunction deriving from the PICC line fractured. Accurate tip catheter placement and specific care may reduce morbidity.

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Fang, F. , Zhang, H. and Yang, W. (2015) An Unusual Peripherally Inserted Central Catheter (PICC) Fractured in Vivo with Embolization Happened in a Child: A Case Report. Case Reports in Clinical Medicine, 4, 10-13. doi: 10.4236/crcm.2015.41003.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Kossoff, E.H. and Poirier, M.P. (1998) Peripherally Inserted Central Venous Catheter Fracture and Embolization to the Lung. Pediatric Emergency Care, 14, 403-405.
http://dx.doi.org/10.1097/00006565-199812000-00006
[2] Shen, G.M. and Gao, Y.J. (2009) Survey of the Long-Term Use of Peripherally Inserted Central Venous Catheters in Children with Cancer Experience in a Developing Country. Journal of Pediatric Hematology/Oncology, 31, 489-492.
http://dx.doi.org/10.1097/MPH.0b013e318190d740
[3] Tan, P.L. and Gibson, M. (2006) Central Venous Catheters: The Role of Radiology. Clinical Radiology, 61, 13-22.
http://dx.doi.org/10.1016/j.crad.2005.07.010
[4] Chow, L.M., Friedman, J.N., Macarthur, C., Restrepo, R., Temple, M., Chait, P.G. and Connolly, B. (2003) Peripherally Inserted Central Catheter (PICC) Fracture and Embolization in the Pediatric Population. Journal of Pediatrics, 142, 141-144.
http://dx.doi.org/10.1067/mpd.2003.67
[5] Caers, J., Fontaine, C., Vinh-Hung, V., De Mey, J., Ponnet, G., Oost, C., Lamote, J., De Greve, J., Van Camp, B. and Lacor, P. (2005) Catheter Tip Position as a Risk Factor for Thrombosis Associated with the Use of Subcutaneous Infusion Ports. Support Care Cancer, 13, 325-331.
http://dx.doi.org/10.1007/s00520-004-0723-1
[6] Pittiruti, M., Scoppettuolo, G., La Greca, A., Emoli, A. and Brutti, A. (2008) The EKG Method for Positioning the Tip of PICCs: Results from Two Preliminary Studies. JAVA, 13, 4.
[7] Coyle, D. and Bloomgarden, D. (2004) Power Injection of Contrast Media via Peripherally Inserted Central Catheters for CT. Journal of Vascular and Interventional Radiology, 15, 809-814.
http://dx.doi.org/10.1097/01.RVI.0000128812.20864.EC

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