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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

            • Abbreviations

              • Peripherally inserted central catheter (PICC)
            • Synonyms

              • PICC line
            • Definitions

              • 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. Swaminathan L et al: Safety and outcomes of midline catheters vs peripherally inserted central catheters for patients with short-term indications: a multicenter study. JAMA Intern Med. 182(1):50-8, 2022
                                          2. Capozzi VA et al: Peripherally inserted central venous catheters (PICC) versus totally implantable venous access device (PORT) for chemotherapy administration: a meta-analysis on gynecological cancer patients. Acta Biomed. 92(5):e2021257, 2021
                                          3. Chen P et al: The incidence of asymptomatic thrombosis related to peripherally inserted central catheter in adults: a systematic review and meta-analysis People's. Nurs Open. 8(5):2249-61, 2021
                                          4. He E et al: Clinical effect and safety of venous access ports and peripherally inserted central catheters in patients receiving tumor chemotherapy: a systematic review and meta-analysis. Ann Palliat Med. 10(8):9105-13, 2021
                                          5. Hon K et al: Rate of catheter-related bloodstream infections between tunneled central venous catheters versus peripherally inserted central catheters in adult home parenteral nutrition: a meta-analysis. JPEN J Parenter Enteral Nutr. 43(1):41-53, 2019
                                          6. Liu G et al: Meta-analysis of intracavitary electrocardiogram guidance for peripherally inserted central catheter placement. J Vasc Access. 20(6):577-82, 2019
                                          7. 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
                                          8. Bhutta ST et al: Evaluation and management of central venous access complications. Tech Vasc Interv Radiol. 14(4):217-24, 2011
                                          9. Braswell LE: Peripherally inserted central catheter placement in infants and children. Tech Vasc Interv Radiol. 14(4):204-11, 2011
                                          10. 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
                                          11. Chung HY et al: Principles of non-tunneled central venous access. Tech Vasc Interv Radiol. 14(4):186-91, 2011
                                          12. Fletcher JJ et al: The clinical significance of peripherally inserted central venous catheter-related deep vein thrombosis. Neurocrit Care. 15(3):454-60, 2011
                                          13. Meek ME: Diagnosis and treatment of central venous access-associated infections. Tech Vasc Interv Radiol. 14(4):212-6, 2011
                                          14. Amerasekera SS et al: Imaging of the complications of peripherally inserted central venous catheters. Clin Radiol. 64(8):832-40, 2009
                                          15. Pirotte T: Ultrasound-guided vascular access in adults and children: beyond the internal jugular vein puncture. Acta Anaesthesiol Belg. 59(3):157-66, 2008
                                          16. Vidal V et al: [Peripherally inserted central catheters (PICC): a promising technique.] J Radiol. 89(7-8 Pt 1):907-9, 2008
                                          17. 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
                                          18. Chow LM et al: Peripherally inserted central catheter (PICC) fracture and embolization in the pediatric population. J Pediatr. 142(2):141-4, 2003
                                          19. 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

                                                    • Abbreviations

                                                      • Peripherally inserted central catheter (PICC)
                                                    • Synonyms

                                                      • PICC line
                                                    • Definitions

                                                      • 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. Swaminathan L et al: Safety and outcomes of midline catheters vs peripherally inserted central catheters for patients with short-term indications: a multicenter study. JAMA Intern Med. 182(1):50-8, 2022
                                                                                  2. Capozzi VA et al: Peripherally inserted central venous catheters (PICC) versus totally implantable venous access device (PORT) for chemotherapy administration: a meta-analysis on gynecological cancer patients. Acta Biomed. 92(5):e2021257, 2021
                                                                                  3. Chen P et al: The incidence of asymptomatic thrombosis related to peripherally inserted central catheter in adults: a systematic review and meta-analysis People's. Nurs Open. 8(5):2249-61, 2021
                                                                                  4. He E et al: Clinical effect and safety of venous access ports and peripherally inserted central catheters in patients receiving tumor chemotherapy: a systematic review and meta-analysis. Ann Palliat Med. 10(8):9105-13, 2021
                                                                                  5. Hon K et al: Rate of catheter-related bloodstream infections between tunneled central venous catheters versus peripherally inserted central catheters in adult home parenteral nutrition: a meta-analysis. JPEN J Parenter Enteral Nutr. 43(1):41-53, 2019
                                                                                  6. Liu G et al: Meta-analysis of intracavitary electrocardiogram guidance for peripherally inserted central catheter placement. J Vasc Access. 20(6):577-82, 2019
                                                                                  7. 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
                                                                                  8. Bhutta ST et al: Evaluation and management of central venous access complications. Tech Vasc Interv Radiol. 14(4):217-24, 2011
                                                                                  9. Braswell LE: Peripherally inserted central catheter placement in infants and children. Tech Vasc Interv Radiol. 14(4):204-11, 2011
                                                                                  10. 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
                                                                                  11. Chung HY et al: Principles of non-tunneled central venous access. Tech Vasc Interv Radiol. 14(4):186-91, 2011
                                                                                  12. Fletcher JJ et al: The clinical significance of peripherally inserted central venous catheter-related deep vein thrombosis. Neurocrit Care. 15(3):454-60, 2011
                                                                                  13. Meek ME: Diagnosis and treatment of central venous access-associated infections. Tech Vasc Interv Radiol. 14(4):212-6, 2011
                                                                                  14. Amerasekera SS et al: Imaging of the complications of peripherally inserted central venous catheters. Clin Radiol. 64(8):832-40, 2009
                                                                                  15. Pirotte T: Ultrasound-guided vascular access in adults and children: beyond the internal jugular vein puncture. Acta Anaesthesiol Belg. 59(3):157-66, 2008
                                                                                  16. Vidal V et al: [Peripherally inserted central catheters (PICC): a promising technique.] J Radiol. 89(7-8 Pt 1):907-9, 2008
                                                                                  17. 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
                                                                                  18. Chow LM et al: Peripherally inserted central catheter (PICC) fracture and embolization in the pediatric population. J Pediatr. 142(2):141-4, 2003
                                                                                  19. Crowley JJ: Vascular access. Tech Vasc Interv Radiol. 6(4):176-81, 2003