Abstract:
Iatrogenic vascular injuries during peripherally inserted central catheter (PICC) placements are uncommon but can lead to significant complications, such as pseudoaneurysms and hematomas. We present the case of a 71-year-old woman with multiple comorbidities who developed a right subpectoral hematoma with active arterial bleeding following PICC line insertion. This injury was successfully managed using minimally invasive coil embolization by the interventional radiology team. This case underscores the importance of early recognition and management of such injuries, highlighting the efficacy of interventional radiology techniques as life-saving interventions.
Reference:Zoghoul SBM, Ur Rehman S, Alhashimi I, Kassamali RH, Barah A. Iatrogenic Axillary Artery Branch Injury Following Peripherally Inserted Central Catheter (PICC) Line Insertion Managed With Coil Embolization: A Case Report. Cureus. 2025 May 16;17(5):e84207. doi: 10.7759/cureus.84207. PMID: 40525025; PMCID: PMC12168670.