Dear Editor, Peripheral central venous catheterization (PICVC) is a popular technique for maintenance of an intravenous line for longstanding duration, as it does not require specific skill and is devoid of serious complications such as pneumothorax, hemothorax, tearing of vessels, hematoma, etc. associated with other routes of central venous cannulation [1, 2], although cases of fracture and migration of distal fragment have been reported in literature from time to time [3, 4]. Accidental cut and migration of central venous catheter (CVC) during a haircut has been reported in the literature [5]. We came across a complication with PICVC. An 18 SWG (Medicent TM ) catheter was inserted through the basilic vein and fixed on the right forearm. On the fourth day during change of dressing this catheter was accidentally cut near to its hub as it was entangled in dressing and adhesive plaster (Fig. 1). Another PICVC could not be passed due to extensive phlebo-thrombosis of both the arms. Suddenly, the idea of insertion of an 18 SWG conventional intravenous cannula into the long end of the central catheter lying outside the vein was proposed by our colleague. The patient was shifted to minor OR and the cut end of the PICVC was cleaned with 5% Povidone-Iodine IP. Under strict aseptic conditions, we pushed an 18 SWG i.v. cannula along with metal stylet into the PICVC device, after removing the sheath of the introducer, till it fitted tightly. A knot with size 3-0 sterile silk thread was put around the insertion site. To our surprise, there was no fluid leak after removal of the metal stylet and connection to the i.v. fluid line. This simple and cost-effective idea saved us performing an open surgical venous cannulation or other technically difficult subclavian, jugular or femoral cannulation, which should only be used in specific cases as they have serious complications, as stated above. Figure 2 shows distal fragment of PICVC along with intravenous cannula after removal from the vein on the 15th day. However, it is recommended that this procedure should be done under