Many major complications related to peripherally inserted central catheter (PICC) lines have been reported in the literature. Of these complications, spontaneous catheter fracture is rare. Percutaneous retrieval avoids the need for surgery in these cases. A few percutaneous techniques have been reported, but very little has been published in the literature regarding the use of vena cava filter retrieval sets. Here, we report a case of a female patient with breast cancer who experienced a fracture of the PICC with subsequent migration of the catheter fragment through the superior vena cava and into the right atrium, the right ventricle and the main pulmonary artery. The catheter fragment was removed by retrograde femoral vein catheterization with a vena cava filter retrieval set.
Keywords: Radiology, interventional, complications, foreign bodies