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< Vol. 17 Issue 4 | Jul-Aug 2016 | pp. 293 - 372, e65 - e141

Nerve damage secondary to removal of fractured PICC fragment

Nerve damage secondary to removal of fractured PICC fragment

J Vasc Access 2016; 17(4): e79 - e81

Article Type: CASE REPORT

DOI:10.5301/jva.5000551

Authors

Qian Q. Mou, Yun X. Wang, Qiong H. Xu, Xia Liu, Ying J. Li

Abstract

To increase awareness of peripherally inserted central catheter (PICC) fracture and necessary nursing assessment to identify development of nerve injury after removal of the PICC fracture.

This is a case review of a cancer patient with fractured PICC and the postoperative symptoms leading to nerve injury.

The reason for PICC fracture is the fragility of silicon. Secondary surgical intervention of a PICC fragment resulted in nerve damage from a hematoma placing pressure on the median nerve in the arm.

It is necessary to use power injectable polyurethane PICCs. It is vital to have a clear understanding of signs and symptoms of nerve impingement in the arm when monitoring a post-operative patient. Assessment of neurological status, circulation, swelling and patient complaints of pain are all necessary functions of the nurse in caring for this type of patient.

Article History

  • • Accepted on 13/02/2016
  • • Available online on 07/04/2016
  • • Published online on 12/07/2016

Disclosures

Financial support: No grants or funding have been received for this study.
Conflict of interest: None of the authors has financial interest related to this study to disclose.

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Authors

  • Mou, Qian Q. [PubMed] [Google Scholar]
  • Wang, Yun X. [PubMed] [Google Scholar]
  • Xu, Qiong H. [PubMed] [Google Scholar]
  • Liu, Xia [PubMed] [Google Scholar]
  • Li, Ying J. [PubMed] [Google Scholar] , * Corresponding Author (Lijunying2005@sina.com)

Affiliations

  • Division of Thoracic Oncology, Cancer Center, West China Hospital, Sichuan University, Chengdu - PR China

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