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Management of PICC rupture in a multidisciplinary collaborative model: A case report
Fenghua Zeng1, Jun Dai2, Xueqing Zhang2
1Department of Surgery, Changde Hospital, Xiangya School of Medicine, Central South University, Changde, Hunan, China.
The Journal of Vascular Access
|May 27, 2024
Summary
Silicone peripherally inserted central catheters (PICCs) pose a rupture risk, as seen in an 81-year-old patient. This case highlights the need to replace fragile silicone PICCs with more durable polyurethane alternatives to prevent complications.
Area of Science:
- Vascular Access Devices
- Medical Device Complications
- Catheter Materials
Background:
- Peripherally inserted central catheters (PICCs) are widely used for fluid infusion.
- Catheter rupture is a significant complication associated with PICC placement.
- Silicone-based PICCs have been associated with potential fragility issues.
Purpose of the Study:
- To report a case of PICC rupture and dislocation.
- To investigate the risks associated with silicone-based PICCs.
- To recommend alternative materials for PICC construction.
Main Methods:
- Case report of an 81-year-old patient with a PICC.
- Documentation of catheter break and subsequent retrieval.
- Analysis of catheter material and failure mode.
Main Results:
- The patient experienced a catheter break 11 months post-placement.
- A second catheter break occurred during retrieval from the superior vena cava.
- The silicone-based PICC demonstrated fragility and spontaneous dislocation.
Conclusions:
- Silicone-based PICCs exhibit fragility and a high risk of spontaneous dislocation.
- Replacement with polyurethane-based PICCs is recommended to mitigate rupture risks.
- This case underscores the importance of material selection in vascular access devices.
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