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Peripherally Inserted Central Catheters
Anatoly Loskutov, MD; Brandt C. Wible, MD
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KEY FACTS

  • Terminology

    • Preprocedure

      • Procedure

        • Post Procedure

          • Outcomes

            TERMINOLOGY

            • Synonyms

              • PIC line
            • Definitions

              • Peripherally inserted central catheter (PICC): Small-bore catheter used to provide short- and medium-term venous access
                • Most common central venous catheter (> 1 million catheters placed in USA alone)
                • Approved for both inpatient and outpatient settings

            PREPROCEDURE

            • Indications

              • Contraindications

                • Preprocedure Imaging

                  • Getting Started

                    PROCEDURE

                    • Patient Position/Location

                      • Procedure Steps

                        • Findings and Reporting

                          • Alternative Procedures/Therapies

                            POST PROCEDURE

                            • Expected Outcome

                              • Things To Avoid

                                • Things to Do

                                  OUTCOMES

                                  • Problems

                                    • Complications

                                      • Management of PICC-Specific Complications

                                        • Expected Outcomes

                                          Selected References

                                          1. Patel IJ et al: Consensus guidelines for periprocedural management of coagulation status and hemostasis risk in percutaneous image-guided interventions. J Vasc Interv Radiol. 23(6):727-36, 2012
                                          2. Bhutta ST et al: Evaluation and management of central venous access complications. Tech Vasc Interv Radiol. 14(4):217-24, 2011
                                          3. Braswell LE: Peripherally inserted central catheter placement in infants and children. Tech Vasc Interv Radiol. 14(4):204-11, 2011
                                          4. Butler PJ et al: Previous PICC placement may be associated with catheter-related infections in hemodialysis patients. Cardiovasc Intervent Radiol. 34(1):120-3, 2011
                                          5. Chung HY et al: Principles of non-tunneled central venous access. Tech Vasc Interv Radiol. 14(4):186-91, 2011
                                          6. Fletcher JJ et al: The clinical significance of peripherally inserted central venous catheter-related deep vein thrombosis. Neurocrit Care. 15(3):454-60, 2011
                                          7. Meek ME: Diagnosis and treatment of central venous access-associated infections. Tech Vasc Interv Radiol. 14(4):212-6, 2011
                                          8. Amerasekera SS et al: Imaging of the complications of peripherally inserted central venous catheters. Clin Radiol. 64(8):832-40, 2009
                                          9. Pirotte T: Ultrasound-guided vascular access in adults and children: beyond the internal jugular vein puncture. Acta Anaesthesiol Belg. 59(3):157-66, 2008
                                          10. Vidal V et al: [Peripherally inserted central catheters (PICC): a promising technique.] J Radiol. 89(7-8 Pt 1):907-9, 2008
                                          11. Gorski LA et al: Peripherally inserted central catheters and midline catheters for the homecare nurse. J Infus Nurs. 27(6):399-409; quiz 410-2, 2004
                                          12. Chow LM et al: Peripherally inserted central catheter (PICC) fracture and embolization in the pediatric population. J Pediatr. 142(2):141-4, 2003
                                          13. Crowley JJ: Vascular access. Tech Vasc Interv Radiol. 6(4):176-81, 2003
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Preprocedure

                                              • Procedure

                                                • Post Procedure

                                                  • Outcomes

                                                    TERMINOLOGY

                                                    • Synonyms

                                                      • PIC line
                                                    • Definitions

                                                      • Peripherally inserted central catheter (PICC): Small-bore catheter used to provide short- and medium-term venous access
                                                        • Most common central venous catheter (> 1 million catheters placed in USA alone)
                                                        • Approved for both inpatient and outpatient settings

                                                    PREPROCEDURE

                                                    • Indications

                                                      • Contraindications

                                                        • Preprocedure Imaging

                                                          • Getting Started

                                                            PROCEDURE

                                                            • Patient Position/Location

                                                              • Procedure Steps

                                                                • Findings and Reporting

                                                                  • Alternative Procedures/Therapies

                                                                    POST PROCEDURE

                                                                    • Expected Outcome

                                                                      • Things To Avoid

                                                                        • Things to Do

                                                                          OUTCOMES

                                                                          • Problems

                                                                            • Complications

                                                                              • Management of PICC-Specific Complications

                                                                                • Expected Outcomes

                                                                                  Selected References

                                                                                  1. Patel IJ et al: Consensus guidelines for periprocedural management of coagulation status and hemostasis risk in percutaneous image-guided interventions. J Vasc Interv Radiol. 23(6):727-36, 2012
                                                                                  2. Bhutta ST et al: Evaluation and management of central venous access complications. Tech Vasc Interv Radiol. 14(4):217-24, 2011
                                                                                  3. Braswell LE: Peripherally inserted central catheter placement in infants and children. Tech Vasc Interv Radiol. 14(4):204-11, 2011
                                                                                  4. Butler PJ et al: Previous PICC placement may be associated with catheter-related infections in hemodialysis patients. Cardiovasc Intervent Radiol. 34(1):120-3, 2011
                                                                                  5. Chung HY et al: Principles of non-tunneled central venous access. Tech Vasc Interv Radiol. 14(4):186-91, 2011
                                                                                  6. Fletcher JJ et al: The clinical significance of peripherally inserted central venous catheter-related deep vein thrombosis. Neurocrit Care. 15(3):454-60, 2011
                                                                                  7. Meek ME: Diagnosis and treatment of central venous access-associated infections. Tech Vasc Interv Radiol. 14(4):212-6, 2011
                                                                                  8. Amerasekera SS et al: Imaging of the complications of peripherally inserted central venous catheters. Clin Radiol. 64(8):832-40, 2009
                                                                                  9. Pirotte T: Ultrasound-guided vascular access in adults and children: beyond the internal jugular vein puncture. Acta Anaesthesiol Belg. 59(3):157-66, 2008
                                                                                  10. Vidal V et al: [Peripherally inserted central catheters (PICC): a promising technique.] J Radiol. 89(7-8 Pt 1):907-9, 2008
                                                                                  11. Gorski LA et al: Peripherally inserted central catheters and midline catheters for the homecare nurse. J Infus Nurs. 27(6):399-409; quiz 410-2, 2004
                                                                                  12. Chow LM et al: Peripherally inserted central catheter (PICC) fracture and embolization in the pediatric population. J Pediatr. 142(2):141-4, 2003
                                                                                  13. Crowley JJ: Vascular access. Tech Vasc Interv Radiol. 6(4):176-81, 2003