Routine Peripherally Inserted Central Catheter Placement Resulting in Delayed Intravascular Foreign Body Randall L. Siegel, MD, John L. Nosher, MD, Leonard.

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Routine Peripherally Inserted Central Catheter Placement Resulting in Delayed Intravascular Foreign Body Randall L. Siegel, MD, John L. Nosher, MD, Leonard Bodner, MD Journal of Vascular and Interventional Radiology Volume 15, Issue 10, Pages 1167-1169 (October 2004) DOI: 10.1097/01.RVI.0000136035.86623.D3 Copyright © 2004 Society of Interventional Radiology Terms and Conditions

Figure 1 Chest radiograph obtained immediately after PICC placement shows the tip in the lower SVC, the wire in the catheter, and no foreign body. Journal of Vascular and Interventional Radiology 2004 15, 1167-1169DOI: (10.1097/01.RVI.0000136035.86623.D3) Copyright © 2004 Society of Interventional Radiology Terms and Conditions

Figure 2 Chest radiograph obtained 1 day after PICC placement shows intravascular foreign body extending from the right pulmonary artery (black arrow) to the left pulmonary artery (white arrow). Journal of Vascular and Interventional Radiology 2004 15, 1167-1169DOI: (10.1097/01.RVI.0000136035.86623.D3) Copyright © 2004 Society of Interventional Radiology Terms and Conditions

Figure 3 Two contiguous axial CT scans demonstrate the wire fragment in the pulmonary arteries (arrows). Journal of Vascular and Interventional Radiology 2004 15, 1167-1169DOI: (10.1097/01.RVI.0000136035.86623.D3) Copyright © 2004 Society of Interventional Radiology Terms and Conditions

Figure 4 Photograph of PICC after the cut wire was pulled out with the tube clamp engaged. Note that the wire ends at the clamp (arrow). Journal of Vascular and Interventional Radiology 2004 15, 1167-1169DOI: (10.1097/01.RVI.0000136035.86623.D3) Copyright © 2004 Society of Interventional Radiology Terms and Conditions

Figure 5 Close-up photograph of the two ends of the wire fragment show that both are irregular with no weld joint identified (arrows). Journal of Vascular and Interventional Radiology 2004 15, 1167-1169DOI: (10.1097/01.RVI.0000136035.86623.D3) Copyright © 2004 Society of Interventional Radiology Terms and Conditions