Non-surgical remove of hard-to-remove peripherally inserted central venous catheter: case report
https://doi.org/10.21682/2311-1267-2022-9-3-93-98
Abstract
A peripherally inserted central catheter (PICC) line allows permanent vascular access and is widely used in pediatric oncology. In patients, who fully completed antitumor treatment, the PICC line should be removed. In some cases, however, the procedure may be complicated and such a catheter is then called a ‘hard-to-remove’ or a ‘non-removable’. This article describes a clinical case of successful non-surgical removal of a PICC line with a developed fibrin sheath.
About the Authors
M. A. CherkashinRussian Federation
Surgeon, Associate Chief Medical Officer
Bldg. 3, 1 Yesenin St., Saint Petersburg, 194354
F. M. Valieva
Russian Federation
Anesthesiologist Department of Anesthesiology and Intensive care unit
Bldg. 3, 1 Yesenin St., Saint Petersburg, 194354
S. V. Alexandrov
Russian Federation
Pediatric Surgeon Department of Pediatric Oncology
Bldg. 3, 1 Yesenin St., Saint Petersburg, 194354
K. F. Boiko
Russian Federation
Pediatric Oncologist, Head of the Department of Pediatric Oncology
Bldg. 3, 1 Yesenin St., Saint Petersburg, 194354
V. A. Romanova
Russian Federation
Pediatric Oncologist Department of Pediatric Oncology
Bldg. 3, 1 Yesenin St., Saint Petersburg, 194354
V. R. Bikulov
Russian Federation
Neurosurgeon Department of Pediatric Oncology
Bldg. 3, 1 Yesenin St., Saint Petersburg, 194354
A. A. Nikolaev
Russian Federation
Anesthesiologist, Head of the Department of Anesthesiology and Intensive care unit
Bldg. 3, 1 Yesenin St., Saint Petersburg, 194354
N. A. Berezina
Russian Federation
Cand. of Sci. (Med.), Radiologist, Head Doctor
Bldg. 3, 1 Yesenin St., Saint Petersburg, 194354
References
1. Borretta L., MacDonald T., Digout C., Smith N., Fernandez C.V., Kulkarni K. Peripherally inserted central catheters in pediatric oncology patients: A 15-Year Population-based Review From Maritimes, Canada. J Pediatr Hematol Oncol. 2018;40(1):e55–60. doi: 10.1097/MPH.0000000000000882.
2. Hoshal V.L. Jr. Total intravenous nutrition with peripherally inserted silicone elastomer central venous catheters. Arch Surg. 1975;110(5):644–6. doi: 10.1001/archsurg.1975.01360110190032.
3. Chopra V., Anand S., Hickner A., Buist M., Rogers M.A., Saint S., Flanders S.A. Risk of venous thromboembolism associated with peripherally inserted central catheters: a systematic review and meta-analysis. Lancet. 2013;382(9889):311–25. doi: 10.1016/S0140-6736(13)60592-9.
4. Chen Q., Hu Y.L., Su S.Y., Huang X., Li Y.X. “AFGP” bundles for an extremely preterm infant who underwent difficult removal of a peripherally inserted central catheter: A case report. World J Clin Cases. 2021;9(17):4253–61. doi: 10.12998/wjcc.v9.i17.4253.
5. Bitsadze V.O., Bredikhin R.A., Bulatov V.L., Golovina V.I., Dzhenina O.V., Zolotukhin I.A., Ilyukhin E.A., Kalinin R.E., Katorkin S.E., Kirienko A.I., Krylov A.Yu., Lobastov K.V., Makatsaria A.D., Mzhavanadze N.D., Porembskaya O.Ya., Priadko S.I., Seliverstov E.I., Sonkin I.N., Soroka V.V., Stoyko Yu.M., Suchkov I.A., Schastlivtsev I.V., Cherkashin M.A. Superficial phlebitis and thrombophlebitis. Flebologiya = Phlebology. 2021;15(3):211–44. (In Russ.) doi: 10.17116/flebo202115031211.
6. Krein S.L., Saint S., Trautner B.W., Kuhn L., Colozzi J., Ratz D., Lescinskas E., Chopra V. Patient-reported complications related to peripherally inserted central catheters: a multicentre prospective cohort study. BMJ Qual Saf. 2019;28:574–81. doi: 10.1136/bmjqs-2018-008726.
7. Wall J.L., Kierstead V.L. Peripherally inserted central catheters: resistance to removal: a rare complication. J Intraven Nurs. 1995;18(5):251–4. PMID: 7562224.
8. Ruikka J.L., Acun C., Karnati S. Entrapped peripherally inserted central catheter due to fibrin sheath in a neonate with noninvasive extraction and review of literature. J Neonatal Perinatal Med. 2022;15(2):383–6. doi: 10.3233/NPM-210830.
9. Roy G.B., Cheriyan A.A., Rymbai M.L. How is that? Knotting of a peripherally inserted central venous catheter. Indian J Anaesth. 2010;54(3):272–4. doi: 10.4103/0019-5049.65367.
10. Zhou L., Muthucumaru M., Tan K., Lau K. Transjugular retrieval of a knotted peripherally inserted central venous catheter (Epicutaneo-Cava catheter) in a neonate. BJR Case Rep. 2016;2(3):20150327. doi: 10.1259/bjrcr.20150327.
11. Chow L.M., Friedman J.N., Macarthur C., Restrepo R., Temple M., Chait P.G., Connolly B. Peripherally inserted central catheter (PICC) fracture and embolization in the pediatric population. J Pediatr. 2003;142(2):141–4. doi: 10.1067/mpd.2003.67.
12. Mohanty C.R., Ahmad S.R., Elyat A., Bellapukonda S., Panigrahi S.K. Point-of-care ultrasonography: a boon for early localization and retrieval of broken fragment of external jugular venous catheter. Korean J Anesthesiol. 2020;73(1):77–8. doi: 10.4097/kja.19285.
13. Komissarov M.I., Komissarov I.A., Aleshin I.U. Endovascular diagnostics and retriveal of postcatheteric foreign bodies of cardiovascular system in children. REJR. 2020;10(4):131–8. (In Russ.) doi: 10.21569/2222-7415-2020-10-4-131-138.
14. Li H., Jen S., Keshavamurthy J.H., Bowers G.H., Vo H.A., Rotem E. Imaging evaluation of catheter integrity prevent potentially fatal complication of pinch-off syndrome: illustration of two cases. Quant Imaging Med Surg. 2017;7(3):369–72. doi: 10.21037/qims.2017.05.01.
15. Biswas S., McNerney P. Ventricular tachycardia from a central line fracture fragment embolus: a rare complication of a commonly used procedure – a case report and review of the relevant literature. Case Rep Crit Care. 2015;2015:265326. doi: 10.1155/2015/265326.
16. Teragawa H., Sueda T., Fujii Y., Takemoto H., Toyota Y., Nomura S., Nakagawa K. Endovascular technique using a snare and suture for retrieving a migrated peripherally inserted central catheter in the left pulmonary artery. World J Cardiol. 2013;5(9):369–72. doi: 10.4330/wjc.v5.i9.369.
17. Miall L.S., Das A., Brownlee K.G., Conway S.P. Peripherally inserted central catheters in children with cystic fibrosis. Eight cases of difficult removal. J Infus Nurs. 2001;24(5):297–300. doi: 10.1097/00129804-200109000-00003.
18. Serrano M., García-Alix A., López J.C., Pérez J., Quero J. Retained central venous lines in the newborn: report of one case and systematic review of the literature. Neonatal Netw. 2007;26(2):105–10. doi: 10.1891/0730-0832.26.2.105.
19. Sharpe E., Roig J. A novel technique for difficult removal of a neonatal peripherally inserted central catheter (PICC). J Perinatol. 2012;32:70–1. doi: 10.1038/jp.2011.57.
20. Van Mechelen K., Mahieu L. A new technique for difficult removal of a peripherally inserted central venous catheter (PICC) in a neonate. Eur J Pediatr. 2021;180(3):973–6. doi: 10.1007/s00431-020-03797-z.
21. Yau S., Narendra D. An uncommon complication of a common procedure. Chest. 2016;150(4):251A. doi: 10.1016/j.chest.2016.08.264.
Review
For citations:
Cherkashin M.A., Valieva F.M., Alexandrov S.V., Boiko K.F., Romanova V.A., Bikulov V.R., Nikolaev A.A., Berezina N.A. Non-surgical remove of hard-to-remove peripherally inserted central venous catheter: case report. Russian Journal of Pediatric Hematology and Oncology. 2022;9(3):93-98. (In Russ.) https://doi.org/10.21682/2311-1267-2022-9-3-93-98