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
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
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
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
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
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
Liu G et al: Meta-analysis of intracavitary electrocardiogram guidance for peripherally inserted central catheter placement. J Vasc Access. 20(6):577-82, 2019
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
Bhutta ST et al: Evaluation and management of central venous access complications. Tech Vasc Interv Radiol. 14(4):217-24, 2011
Braswell LE: Peripherally inserted central catheter placement in infants and children. Tech Vasc Interv Radiol. 14(4):204-11, 2011
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
Chung HY et al: Principles of non-tunneled central venous access. Tech Vasc Interv Radiol. 14(4):186-91, 2011
Fletcher JJ et al: The clinical significance of peripherally inserted central venous catheter-related deep vein thrombosis. Neurocrit Care. 15(3):454-60, 2011
Meek ME: Diagnosis and treatment of central venous access-associated infections. Tech Vasc Interv Radiol. 14(4):212-6, 2011
Amerasekera SS et al: Imaging of the complications of peripherally inserted central venous catheters. Clin Radiol. 64(8):832-40, 2009
Pirotte T: Ultrasound-guided vascular access in adults and children: beyond the internal jugular vein puncture. Acta Anaesthesiol Belg. 59(3):157-66, 2008
Vidal V et al: [Peripherally inserted central catheters (PICC): a promising technique.] J Radiol. 89(7-8 Pt 1):907-9, 2008
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
Chow LM et al: Peripherally inserted central catheter (PICC) fracture and embolization in the pediatric population. J Pediatr. 142(2):141-4, 2003
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
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
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
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
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
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
Liu G et al: Meta-analysis of intracavitary electrocardiogram guidance for peripherally inserted central catheter placement. J Vasc Access. 20(6):577-82, 2019
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
Bhutta ST et al: Evaluation and management of central venous access complications. Tech Vasc Interv Radiol. 14(4):217-24, 2011
Braswell LE: Peripherally inserted central catheter placement in infants and children. Tech Vasc Interv Radiol. 14(4):204-11, 2011
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
Chung HY et al: Principles of non-tunneled central venous access. Tech Vasc Interv Radiol. 14(4):186-91, 2011
Fletcher JJ et al: The clinical significance of peripherally inserted central venous catheter-related deep vein thrombosis. Neurocrit Care. 15(3):454-60, 2011
Meek ME: Diagnosis and treatment of central venous access-associated infections. Tech Vasc Interv Radiol. 14(4):212-6, 2011
Amerasekera SS et al: Imaging of the complications of peripherally inserted central venous catheters. Clin Radiol. 64(8):832-40, 2009
Pirotte T: Ultrasound-guided vascular access in adults and children: beyond the internal jugular vein puncture. Acta Anaesthesiol Belg. 59(3):157-66, 2008
Vidal V et al: [Peripherally inserted central catheters (PICC): a promising technique.] J Radiol. 89(7-8 Pt 1):907-9, 2008
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
Chow LM et al: Peripherally inserted central catheter (PICC) fracture and embolization in the pediatric population. J Pediatr. 142(2):141-4, 2003