All over the world peripheral vein catheterization is the most common invasive maneuver nearly almost in hospitalized people. And it is generally considered harmless.
The intravascular foreign bodies may originate both iatrogenic and non-iatrogenic, and can cause significant complications such as thrombosis, pulmonary and peripheral embolism, so they need to be removed, by surgery or percutaneous radiological techniques.
The incidence of embolism of the catheter varies from 0.2% to 4.2% and it usually happens with central venous catheter or totally implanted port devices in the literature 1.
In 1954 Turner et al. reported the first embolization of a polyethylene catheter from the cubital vein into the right atrium at autopsy 2.
Until now, there has been an increase in the number of implanted venous catheters.
Surov et al. 1 reported that catheter fragments were found in the superior vena cava or in the peripheral veins in 15.4%, in the right atrium in 27.6%, in the right ventricle in 22% , and in the pulmonary artery in 35% in reported cases between 1985 and 2007.
It is suggested to remove the broken part for preventing the long-term risk of pulmonary or septic complications 1.
DellAmore et al. 3 reported a case of PVC fracture with pulmonary artery embolization After 2 months because of the persistence of symptoms of the patient they removed the broken part by mini thoracotomy. Our case is in a different situation because it was a PVC positioned in the left cephalic vein and removed before embolization.
Placement and removal of a PVC is not always a simple and harmless procedure, so it must be done in a competent hand.
Financial support: No funding have been received for this study.
Conflict of interest: None of the authors has financial interest related to this study to disclose.