Peripherally inserted central catheter

Typical PICC line with a double lumen.

A peripherally inserted central catheter (PICC or PICC line), also called a percutaneous indwelling central catheter or longline,[1] 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) or for administration of substances that should not be done peripherally (e.g., antihypotensive agents a.k.a. pressors). It is a catheter that enters the body through the skin (percutaneously) at a peripheral site, extends to the superior vena cava (a central venous trunk), and stays in place (dwells within the veins) for days, weeks or even months.

First described in 1975,[2] it is an alternative to central venous catheters in major veins such as the subclavian vein, the internal jugular vein or the femoral vein. Subclavian and jugular line placements may result in pneumothorax (air in the pleural space of lung), while PICC lines have no such issue because of the method of placement.

  1. ^ Arnett, A. M.; Fleisher, G. R. (October 1999). "Insertion of long lines in the pediatric emergency department". Pediatric Emergency Care. 15 (5): 318–321. doi:10.1097/00006565-199910000-00004. ISSN 0749-5161. Retrieved May 15, 2024.
  2. ^ Hoshal VL (May 1975). "Total intravenous nutrition with peripherally inserted silicone elastomer central venous catheters". Arch Surg. 110 (5): 644–6. doi:10.1001/archsurg.1975.01360110190032. PMID 805577.

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