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Percutaneous removal of a peripherally inserted central catheter remnant using cardiac catheterization

Peripherally inserted central catheters (PICC) are used frequently in pediatric patients. It has been shown to reduce the length of hospital stay 1 and can reduce the stress and suffering associated with frequent venipuncture and prolonged hospital admissions. It has been previously reported that PICC placement in the interventional radiology suite is safe and feasible with minimal complications. 2 Post-insertion complications including leaks, accidental removal, migration of the tip, fracture, embolization, PICC-related infections, occlusion of the PICC, venous perforation, atrial perforation, arrhythmias, and phlebitis caused by venous stasis have all been previously reported. 3 – 6 As with central venous line, fracture and embolization in PICC have been described, but only in a few case reports. 7,8 To our knowledge, there has been no report describing a spontaneously fractured PICC in an extremely low-birthweight premature infant. Here we report a spontaneously fractured PICC that was successfully retrieved through cardiac catheter.