I tried to remove a PICC line today that had been in for 6 months, site looks good, no issues with it. (I'm an infusion nurse but not recently). It pulled about halfway out with gentle intermittent traction, then stopped. I massaged the arm above, pulled again (gently) and something "gave", the pt felt something in his axilla, and it pulled maybe another inch, but then just stretched and retracted. Tried pausing for possible vasospasm, but no more give.
I didn't want to pull any harder, obviously, and risk breaking it. Never had this experience before - anyone? I cleaned the area with CHG and coiled most of it under a transparent dressing; I'm sending him for an xray tomorrow.
Any thoughts? I wonder if it migrated around a corner in the wrong direction. Could vasospasm cause complete lack of movement, or just resistance?
I greatly appreciate the expertise and helpful spirit of this site - thanks!