Related Experiment Video
Updated: Nov 18, 2025
Author Spotlight: Enhancing Coronary Artery Revascularization
Published on: September 15, 2023
Recovery of a broken PICC migrated in cardiac chambersan endovascular approach
Giuseppe Sarti1, Pasquale Quassone2, Luca Tarotto1
1Vascular and Interventional Unit-P.O. Ospedale del Mare, ASL NA1 Centro, Naples, Italy.
Insights
A fractured peripherally inserted central catheter migrated to the heart was successfully retrieved using minimally invasive endovascular techniques. This life-saving procedure offers a less invasive option for fragile patients, reducing hospitalization time.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Critical Care Medicine
Background:
- Complications from peripherally inserted central catheters (PICCs) are common and can necessitate emergency intervention.
- Catheter migration, particularly into cardiac chambers or great vessels, poses a significant risk.
Abstract:
Complications related to the placement of a peripherally inserted central catheter are a common phenomenon and they can lead to acute complications which must be treated in an emergency regime. The aim of this study was to describe cases in their most practical and technical aspect, especially in complicated conditions. This was a descriptive case report of a 64 years old female patient who presented with a fractured peripherally inserted central catheter, migrated into the right heart chambers and inferior vena cava, and how the team arranged for its recovery by endovascular technique, in a frail patient who could not undergo to open surgery.The procedure was completed without any complications. The use of the endovascular technique allows a recovery of the foreign body in a short time, essential for a life-saving procedure; the interventional radiological approach allows less invasiveness in fragile patients and shorter hospitalization times.
