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A curious case of PICC line knot formation
  1. Sarah Keulemans1,
  2. M Voormolen2,
  3. M Deplancke3,
  4. H Blom1
  1. 1Department of Neonatology, Antwerp University Hospital, Edegem, Belgium
  2. 2Department of Radiology, Antwerp University Hospital, Edegem, Belgium
  3. 3Departement of Pediatrics, Sint Maarten Hospital, Mechelen, Belgium
  1. Correspondence to Dr Sarah Keulemans, Department of Neonatology, Antwerp University Hospital, Wilrijkstraat 10, 2650 Edegem, Belgium; Sarah.keulemans{at}

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A peripherally inserted central Nutriline catheter (24G PICC) was placed into the vena femoralis of a preterm baby. Radiography demonstrated looping and a possible knot formation of the catheter (figure 1). The catheter was pulled back, and flow was put on the catheter, hoping that the catheter would expand in a correct position. Control by X-ray after 1 hour and 12 hours showed a similar …

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  • Contributors MV: intervention radiologist who performed the technique; MD: general paediatrician.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.