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Rescue of a patient with a 50 cm broken PICC tube retracted and wrapped in pulmonary artery: a case report Cover

Rescue of a patient with a 50 cm broken PICC tube retracted and wrapped in pulmonary artery: a case report

Frontiers of Nursing
Volume 8 (2021): Issue 4 (December 2021)
By:
Open Access
|Dec 2021

Figures & Tables

Figure 1

The method of first aid immediately after diagnostic imaging revealed that the catheter had broken off inside the body: (A) left recumbent position, hand; and (B) tourniquet ligation.
The method of first aid immediately after diagnostic imaging revealed that the catheter had broken off inside the body: (A) left recumbent position, hand; and (B) tourniquet ligation.

Figure 2

X-ray and CT scan results of the broken catheter inside the body by (A) chest positive tablets; (B) chest lateral tablets; and (C) enhanced CT, showing that the catheter was stranded in the left and right pulmonary artery trunk and branches; the ruptured catheter is indicated by an arrow.
X-ray and CT scan results of the broken catheter inside the body by (A) chest positive tablets; (B) chest lateral tablets; and (C) enhanced CT, showing that the catheter was stranded in the left and right pulmonary artery trunk and branches; the ruptured catheter is indicated by an arrow.

Figure 3

Images obtained during pulmonary artery angiography and intravascular removal of foreign matter by using (A) a pigtail catheter thread through the iliac vein, inferior vena cava, right atrium, and right ventricle pulmonary artery and (B) the guide wire wrapped around the fractured catheter; (C) shows the extraction of the fractured catheter out of the pulmonary artery and its guidance into the inferior vena cava; and as the heart contracted, the broken tube drifted into the superior vena cava and the internal jugular vein. We inserted the goose neck snare through the iliac vein, inferior vena cava, right atrium, and superior vena cava and opened the goose neck ring waiting for the exposed free fractured catheter to drift into the ring; and (D) shows the tightening of the ring, indicating it slowly being drawn through the right atrium, inferior vena cava, iliac vein, and femoral vein. Finally, the fractured catheter is successfully removed.
Images obtained during pulmonary artery angiography and intravascular removal of foreign matter by using (A) a pigtail catheter thread through the iliac vein, inferior vena cava, right atrium, and right ventricle pulmonary artery and (B) the guide wire wrapped around the fractured catheter; (C) shows the extraction of the fractured catheter out of the pulmonary artery and its guidance into the inferior vena cava; and as the heart contracted, the broken tube drifted into the superior vena cava and the internal jugular vein. We inserted the goose neck snare through the iliac vein, inferior vena cava, right atrium, and superior vena cava and opened the goose neck ring waiting for the exposed free fractured catheter to drift into the ring; and (D) shows the tightening of the ring, indicating it slowly being drawn through the right atrium, inferior vena cava, iliac vein, and femoral vein. Finally, the fractured catheter is successfully removed.

Figure 4

Images of the real broken catheter after being taken out of the body: (A) the broken catheter and (B) the length of the catheter measuring 50 cm.
Images of the real broken catheter after being taken out of the body: (A) the broken catheter and (B) the length of the catheter measuring 50 cm.

Clinical characteristics of the patient by the timeline_

TimelineClinical characteristics
WBC, 109/LRBC, 1012/LPLT, 109/LK, mmol/LNa, mmol/LCl, mmol/LALT, IU/LTBIL, μmol/LAlb, g/LPT, secAPTT, secPT-INRPTA, %
2017/9/26, before vein catheterization3.072.29334.01130.999.111.033.1236.40
2017/11/20, before first leaving hospital2.582.55522.60143.0103.09.316.9038.6714.045.01.1770.4
2017/12/1, before catheter broken2.232.12372.20142.0102.0 14.342.61.2067.8
2017/12/2, immediately after catheter broken4.662.34523.12127.382.18.523.7935.3814.238.51.1968.7
2017/12.18, before intervention surgery1.992.04254.18137.8109.514.414.3539.7014.040.11.1770.4
2018/3/22, 3 months after surgery2.003.41243.70138.6109.817.034.4043.90
2018/12/27, 1 year after surgery2.773.95203.90109.3109.324.038.0043.10
DOI: https://doi.org/10.2478/fon-2021-0045 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
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Language: English
Page range: 445 - 450
Submitted on: Dec 23, 2020
Accepted on: Feb 18, 2021
Published on: Dec 30, 2021
Published by: Shanxi Medical Periodical Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 times per year
Keywords:
case report,
fracture,
gooseneck catcher,
PICC,
pigtail catheter
Related subjects:
Medicine,
Assistive professions, nursing

© 2021 Sha Yang, Ren-Tao Yu, Hui-Lan Zhang, Xue Jiang, Jian-Ping You, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution 4.0 License.

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