Peripherally inserted central catheters are commonly used for intravascular access in low birth weight neonates. Here, we describe a case of transcatheter retrieval of an embolised peripherally inserted central catheter line in the right ventricle extending to the left pulmonary artery in a preterm very low birth weight baby. To the best of our knowledge, this is the first case where transcatheter retrieval of embolised peripherally inserted central catheter line has been done from the left pulmonary artery in such a very low birth weight preterm neonate. Although retrieval of foreign body is common in adults and older children, very few case reports have documented successful retrieval of embolised peripherally inserted central catheter line in very low birth weight neonates using interventional techniques. Most of the cases in literature reported retrieval of an indwelling umbilical venous catheter rather than a peripherally inserted central catheter line as in our case. Also, none of these cases had the embolised fragment retrieved from the left pulmonary artery. This approach was technically very challenging as we were taking care of a 5-day old preterm neonate born at 32 weeks of gestation having very low birth weight (1100 g) with features of clinical sepsis, coagulopathy, and embolised catheter fragment extending from right ventricle to left pulmonary artery. The procedure was uneventful without any complication and the catheter was retrieved successfully.

外周插入的中心导管通常用于低出生体重新生儿的血管内通路。在这里，我们描述了一个在早产极低出生体重婴儿中经导管取回右心室栓塞外周插入中央导管线延伸至左肺动脉的病例。据我们所知，这是第一个在出生体重极低的早产儿中从左肺动脉经导管取出栓塞的外周插入中央导管线的病例。虽然取出异物在成人和大龄儿童中很常见，但很少有病例报告记录了使用介入技术在极低出生体重新生儿中成功取出栓塞的外周插入中央导管线。文献中的大多数病例报告了取回留置的脐静脉导管，而不是像我们的病例那样在外周插入中央导管。此外，这些病例均未从左肺动脉中取出栓塞碎片。这种方法在技术上非常具有挑战性，因为我们正在照顾一名 5 天大的早产新生儿，该新生儿出生时妊娠 32 周，出生体重极低（1100 克），具有临床败血症、凝血病和从右心室延伸的栓塞导管碎片的特征至左肺动脉。手术过程顺利，无任何并发症，导管成功取出。这些病例均未从左肺动脉取出栓塞碎片。这种方法在技术上非常具有挑战性，因为我们正在照顾一名 5 天大的早产新生儿，该新生儿出生时妊娠 32 周，出生体重极低（1100 克），具有临床败血症、凝血病和从右心室延伸的栓塞导管碎片的特征至左肺动脉。手术过程顺利，无任何并发症，导管成功取出。这些病例均未从左肺动脉取出栓塞碎片。这种方法在技术上非常具有挑战性，因为我们正在照顾一名 5 天大的早产新生儿，该新生儿出生时妊娠 32 周，出生体重极低（1100 克），具有临床败血症、凝血病和从右心室延伸的栓塞导管碎片的特征到左肺动脉。手术过程顺利，无任何并发症，导管成功取出。