Entrapped peripherally inserted central catheter due to fibrin sheath in a neonate with noninvasive extraction and review of literature

Abstract: Peripherally inserted central catheter line entrapment is a rare complication in the neonatal intensive care unit and only a small number of cases have been reported. While studies have suggested recommendations for removal, there is still a need for surgical intervention in some cases. This is a case of a premature infant with long term peripherally inserted central catheter line placement with fibrin sheath formation that required multiple attempts before successful noninvasive removal and a review of the cases with difficult peripherally inserted central catheter removal in newborns.

*Corresponding Author: 

 Ceyda Acun, MD, FAAP, Department of Neonatology, Cleveland Clinic Children’s Hospital, 9500 Euclid Avenue, Cleveland, OH 44195, USA. Tel.: +1 216 444 2568; Fax: +1 216 444 7625; E-mail: acunc@ccf.org.