Rescue of a patient with a 50 cm broken PICC tube retracted and wrapped in pulmonary artery: a case report
Sha Yang1
Ren-Tao Yu2
Hui-Lan Zhang1
Xue Jiang1
Jian-Ping You1
1.Department of Infectious Diseases,Southwest Hospital,Third Military Medical University(Army Medical University),Chongqing 400038,China2.Pulmonary Department,The General Hospital of Western Theater Command,Chengdu,Sichun 610083,China
摘要：Objective: With the increasing use of a peripherally inserted central catheter (PICC) in clinical application, the breaking of the PICC is increasing as well, which would turn into the emboli and drift to the heart and pulmonary artery, causing severe consequences.However, few cases have been reported on the rescue of patients with a broken PICC.Patient concerns: A 33-year-old man, diagnosed with chronic hepatitis B-related decompensated cirrhosis and cryptococcal meningitis, was treated with amphotericin B combined with flucytosine and fluconazole by means of PICC catheterization. The patient was discharged with a catheter; when he returned for re-examination, a 50cm length of PICC broke and slipped into the vein after his sudden dysphoria. First aid was immediately administered, and then the intervention therapy to extricate the tube, including pulmonary artery angiography and intravascular removal of foreign matter, was performed based on the consensus of the in-hospital vein treatment group. At last, the broken PICC fragment was successfully taken out of the vessel. Re-examination after surgery showed that he recovered well.Conclusions: Once the catheter is broken, the X-ray examination should be performed at the first instance and re-examined frequently.Moreover, the involvement of a multidisciplinary team should be formed to decide the appropriate method of treatment to ensure a successful rescue.
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论文发表日期：2021-12-30
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：6( 445-450 )
英文信息