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I placed a single-lumen groshong PICC on a patient to the left basilic on friday. No problems with placement, tip resided at the CA junction confirmed by CXR. The patient reported to me today, 4 days later, she has had constant chest pressure extending from left clavicle area along the pathway to the cavoatrial junction since placement (I had her trace the pain she was feeling on her own body). A repeat CXR today verified the tip still resided nicely at the CA junction. No left arm or shoulder pain, her arm circumfrence remains the same, no distal swelling to the insertion site.  I had no answers for her, and since she is now an outpatient receiving infusion therapy, all I could do was advise her to follow up with her primary MD. She had a cardiac work-up this year already that was negative.

I am unfamiliar with chest pressure being a side effect of a PICC. Should the line be removed? Or is this possibly all  unrelated? 

Any input would be helpful. Thanks!