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PICCs
Michael R. Aquino, MD, MHSc
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Definitions

              • Peripherally inserted central catheter (PICC): Vascular line inserted percutaneously into peripheral vein with tip residing in central vein

            IMAGING

            • General Features

              • Radiographic Findings

                • Imaging Recommendations

                  PATHOLOGY

                  • General Features

                    CLINICAL ISSUES

                    • Indications

                      • Not Indicated For

                        DIAGNOSTIC CHECKLIST

                        • Consider

                          • Reporting Tips

                            Selected References

                            1. Acun C et al: Peripherally inserted central cathether migration in neonates: incidence, timing and risk factors. J Neonatal Perinatal Med. 14(3):411-7, 2021
                            2. Dhillon SS et al: Arrhythmias in children with peripherally inserted central catheters (PICCs). Pediatr Cardiol. 41(2):407-13, 2020
                            3. Sertic AJ et al: Perforations associated with peripherally inserted central catheters in a neonatal population. Pediatr Radiol. 48(1):109-19, 2018
                            4. Concepcion NDP et al: Current updates in catheters, tubes and drains in the pediatric chest: a practical evaluation approach. Eur J Radiol. 95:409-17, 2017
                            5. Goldwasser B et al: Non-central peripherally inserted central catheters in neonatal intensive care: complication rates and longevity of catheters relative to tip position. Pediatr Radiol. 47(12):1676-81, 2017
                            6. Gnannt R et al: Variables decreasing tip movement of peripherally inserted central catheters in pediatric patients. Pediatr Radiol. 46(11):1532-8, 2016
                            7. McCay AS et al: Videos in clinical medicine. PICC placement in the neonate. N Engl J Med. 370(11):e17, 2014
                            8. Jain A et al: Peripherally inserted central catheter tip position and risk of associated complications in neonates. J Perinatol. 33(4):307-12, 2013
                            9. Jumani K et al: Risk factors for peripherally inserted central venous catheter complications in children. JAMA Pediatr. 167(5):429-35, 2013
                            10. Westergaard B et al: Peripherally inserted central catheters in infants and children - indications, techniques, complications and clinical recommendations. Acta Anaesthesiol Scand. 57(3):278-87, 2013
                            11. Braswell LE: Peripherally inserted central catheter placement in infants and children. Tech Vasc Interv Radiol. 14(4):204-11, 2011
                            12. Trotter CW: Inadvertent catheterization of the ascending lumbar vein. Neonatal Netw. 28(3):179-83, 2009
                            13. Baskin KM et al: Cavoatrial junction and central venous anatomy: implications for central venous access tip position. J Vasc Interv Radiol. 19(3):359-65, 2008
                            14. Connolly B et al: Influence of arm movement on central tip location of peripherally inserted central catheters (PICCs). Pediatr Radiol. 36(8):845-50, 2006
                            15. Racadio JM et al: Pediatric peripherally inserted central catheters: complication rates related to catheter tip location. Pediatrics. 107(2):E28, 2001
                            Related Anatomy
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                            Related Differential Diagnoses
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                            References
                            Tables

                            Tables

                            KEY FACTS

                            • Terminology

                              • Imaging

                                • Pathology

                                  • Clinical Issues

                                    • Diagnostic Checklist

                                      TERMINOLOGY

                                      • Definitions

                                        • Peripherally inserted central catheter (PICC): Vascular line inserted percutaneously into peripheral vein with tip residing in central vein

                                      IMAGING

                                      • General Features

                                        • Radiographic Findings

                                          • Imaging Recommendations

                                            PATHOLOGY

                                            • General Features

                                              CLINICAL ISSUES

                                              • Indications

                                                • Not Indicated For

                                                  DIAGNOSTIC CHECKLIST

                                                  • Consider

                                                    • Reporting Tips

                                                      Selected References

                                                      1. Acun C et al: Peripherally inserted central cathether migration in neonates: incidence, timing and risk factors. J Neonatal Perinatal Med. 14(3):411-7, 2021
                                                      2. Dhillon SS et al: Arrhythmias in children with peripherally inserted central catheters (PICCs). Pediatr Cardiol. 41(2):407-13, 2020
                                                      3. Sertic AJ et al: Perforations associated with peripherally inserted central catheters in a neonatal population. Pediatr Radiol. 48(1):109-19, 2018
                                                      4. Concepcion NDP et al: Current updates in catheters, tubes and drains in the pediatric chest: a practical evaluation approach. Eur J Radiol. 95:409-17, 2017
                                                      5. Goldwasser B et al: Non-central peripherally inserted central catheters in neonatal intensive care: complication rates and longevity of catheters relative to tip position. Pediatr Radiol. 47(12):1676-81, 2017
                                                      6. Gnannt R et al: Variables decreasing tip movement of peripherally inserted central catheters in pediatric patients. Pediatr Radiol. 46(11):1532-8, 2016
                                                      7. McCay AS et al: Videos in clinical medicine. PICC placement in the neonate. N Engl J Med. 370(11):e17, 2014
                                                      8. Jain A et al: Peripherally inserted central catheter tip position and risk of associated complications in neonates. J Perinatol. 33(4):307-12, 2013
                                                      9. Jumani K et al: Risk factors for peripherally inserted central venous catheter complications in children. JAMA Pediatr. 167(5):429-35, 2013
                                                      10. Westergaard B et al: Peripherally inserted central catheters in infants and children - indications, techniques, complications and clinical recommendations. Acta Anaesthesiol Scand. 57(3):278-87, 2013
                                                      11. Braswell LE: Peripherally inserted central catheter placement in infants and children. Tech Vasc Interv Radiol. 14(4):204-11, 2011
                                                      12. Trotter CW: Inadvertent catheterization of the ascending lumbar vein. Neonatal Netw. 28(3):179-83, 2009
                                                      13. Baskin KM et al: Cavoatrial junction and central venous anatomy: implications for central venous access tip position. J Vasc Interv Radiol. 19(3):359-65, 2008
                                                      14. Connolly B et al: Influence of arm movement on central tip location of peripherally inserted central catheters (PICCs). Pediatr Radiol. 36(8):845-50, 2006
                                                      15. Racadio JM et al: Pediatric peripherally inserted central catheters: complication rates related to catheter tip location. Pediatrics. 107(2):E28, 2001