Case Report: Urgent ultrasound-guided dual-lumen PICC placement after platelet transfusion in severe aplastic anemia with extreme thrombocytopenia
Yeyan He, Shasha Li, Yimei Feng, Xiaoli Chen, Xi Zhang · 2026
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Description
He and co-authors report a difficult case: placing a central line in a woman whose platelet count was almost zero. She had severe aplastic anemia, a failure of the bone marrow, and needed a dual-lumen PICC line before a stem cell transplant. With so few platelets, any puncture risks serious bleeding.
After a platelet transfusion barely raised her count, the team gave a second transfusion and inserted the line at once under ultrasound guidance, succeeding on the first pass. Only mild oozing followed, controlled by ten minutes of pressure, and no major bleeding or infection appeared over sixty-three days of catheter use. The case maps a careful pathway for emergencies like this.
Catalog record
| CREATOR | Yeyan He, Shasha Li, Yimei Feng, Xiaoli Chen, Xi Zhang |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 29 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |