Fibrin sheath of a peripherally inserted central catheter undepicted with gray-scale (real-time B-mode) ultrasonography: A case report

Naoko Mogi, MD; Motoo Nakagawa, MD; Hidekazu Matsumae, MD; Ayako Hattori, MD; Masashi Shimohira, MD; Yuta Shibamoto, MD

Radiology Case Reports (Jun 2018)

Fibrin sheath of a peripherally inserted central catheter undepicted with gray-scale (real-time B-mode) ultrasonography: A case report

Naoko Mogi, MD,
Motoo Nakagawa, MD,
Hidekazu Matsumae, MD,
Ayako Hattori, MD,
Masashi Shimohira, MD,
Yuta Shibamoto, MD

Affiliations

Naoko Mogi, MD: Department of Radiology, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Japan
Motoo Nakagawa, MD: Department of Radiology, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Japan; Corresponding author.
Hidekazu Matsumae, MD: Department of Cardiovascular Surgery, Nagoya City University Graduate School of Medical Sciences
Ayako Hattori, MD: Department of Pediatrics and Neonatology, Nagoya City University Graduate School of Medical Sciences
Masashi Shimohira, MD: Department of Radiology, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Japan
Yuta Shibamoto, MD: Department of Radiology, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya, Japan

Journal volume & issue: Vol. 13, no. 3
pp. 537 – 541

Abstract

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An 11-year-old male was admitted to our hospital with the acute exacerbation of chronic heart failure. A peripherally inserted central catheter (PICC) was inserted from the left forearm. Ten days after its insertion, the withdrawal of PICC was attempted because of occlusion. However, it was not possible to remove PICC because a fibrin sheath had attached around its tip. A color Doppler and probe compression technique revealed the presence of a fibrin sheath, which could not be detected by gray-scale (real-time B-mode) ultrasonography. This case demonstrated that the color Doppler and probe compression technique is useful for detecting a fibrin sheath. Keywords: Peripherally inserted central catheter, Fibrin sheath, Ultrasonography, Probe compression technique

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: http://www.journals.elsevier.com/radiology-case-reports/

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