PICC

A Peripherally Inserted Central Catheter (PICC) is a form of intravenous access that can be used for a prolonged period of time (e.g., for long chemotherapy regimens, extended antibiotic therapy, or total parenteral nutrition).

Overview

A PICC is inserted in a peripheral vein such as the cephalic vein, basilic vein, or brachial vein in the arm, and then advanced through increasingly larger veins, toward the heart until the tip rests in the superior vena cava or cavoatrial junction.

Indications

PICC lines are used for patients who need long-term intravenous therapy. This includes patients who are receiving chemotherapy, antibiotics, total parenteral nutrition, or other medications.

Procedure

The procedure to insert a PICC line involves inserting a needle into a peripheral vein, advancing a wire through the needle, and then threading the PICC line over the wire. The line is then secured in place and an X-ray is taken to confirm correct placement.

Risks and Complications

As with any invasive procedure, there are risks associated with PICC line insertion. These include infection, bleeding, and damage to the vein. There is also a risk of the PICC line becoming blocked or dislodged.

See Also

• Central venous catheter
• Intravenous therapy
• Chemotherapy
• Antibiotics
• Total parenteral nutrition