PICC line issues

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Hello,

 I had a single lumen line placed beginning of January when my chemo started but after one week they could not extract blood. I had a chest X-ray which showed the end of the line had kinked back on itself and I had to have it replaced the next day. When they pulled it out the nurse mentioned to her colleague it was very long which probably explained why I was having weird heart palpitations since the initial placement. They placed a double lumen line and has been no problem up until today. I went to hospital for my usual line flush/bloods and it was flushing beautifully but could not extract blood. I then had to go down for yet another chest X-ray and I am now waiting to hear from the doctor to see if it’s in the right position. 

I’m wondering if this is normal to potentially have a third replacement and if anyone else has experienced this? I’m usually fine with any treatments but having the picc placed was quite traumatic for me. I’m very worried about maybe having to have a third one done. 

Thank you! 

  • HiLT94,

     

    Thanks for getting in touch and welcome to the online community.

     

    My name is Eileen and I’m one of the Cancer Information Nurse Specialists on the Macmillan Support Line.

     

    I’m sorry to hear about the problems you’ve experienced with the PICC lines and I can appreciate that this is distressing for you.

     

    There are a number of issues that can occur when PICC lines are in place and whilst many people experience no problems others may experience difficulties that require more than one replacement.

     

    If the x-ray doesn’t demonstrate an issue with positioning of your line your team will look at other possible causes.

     

    Sometimes a fibrin sheath can form at the tip of PICC lines. These are collections of cells and debris that can form when a line has been in place for some time. Fibrin sheaths don’t usually prevent the line being flushed but when drawing blood back the sheath can flap over and occlude the line. These might be treated by using a (thrombolytic), a drug that’s capable of breaking up the sheath.

     

    It’s understandable that the prospect of having to have a further line placed is quite traumatic for you. Please let the staff at the hospital know how you are feeling. They can discuss your options and if you do require another line, they can prescribe a sedative that can help you to relax.

     

    I hope this is helpful but please don’t hesitate to get back in touch if you need further information or support.

     

    Best wishes

     

    Eileen

     

    Our ref: LZD

    Eileen M - Macmillan Cancer Information Nurse Specialist