Extract:
“Peripherally inserted central catheters (PICCs) have become indispensable in intravenous therapy, yet their widespread use has increased the focus on associated complications.1 To optimize catheter retention, clinical guidelines often advocate for “catheter salvage” strategies for specific complications, such as suspected infection or thrombosis. However, in clinical practice, these adverse events frequently necessitate an unplanned PICC removal (UPR)—defined as catheter removal prior to completion of planned therapy—thereby interrupting essential treatment. The decision to remove a catheter involves weighing the severity of the complication against the risks of reinsertion. Based on a large multicenter prospective cohort in China, this study aimed to quantify the differential risks of UPR triggered by distinct complication types, including infection, thrombosis, mechanical complications, and catheter-associated skin injury (CASI).”
Reference:Zhou X, Li Z, Liu W, Li C, Jiao J, Sun W. Unplanned Removal of Peripherally Inserted Central Catheter After Complications. JAMA Netw Open. 2026 Mar 2;9(3):e261974. doi: 10.1001/jamanetworkopen.2026.1974. PMID: 41838006; PMCID: PMC12993693.