Key result
Transvenous retrieval successfully removes an embolized PICC fragment without surgery in a preterm neonate.
Transvascular retrieval is a feasible alternative to surgery for removing embolized PICC fragments in preterm neonates.
May offer a less invasive option in preterm neonates; hypothesis-generating from single case report and should not yet change practice.
We report the first case of transvenous removal of a peripheral inserted central catheter (PICC) fragment embolized to a peripheral vein in a 32-week gestational age 1450 g infant. The technical aspect of this alternative method to surgery is discussed.
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Robbins et al. (2008) studied this question. Transvenous removal of an embolized PICC fragment from a peripheral vein was successfully performed in a 1450 g preterm neonate as an alternative to surgery.
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