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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 ...
PICC lines may also result in venous thrombosis and stenosis, and should therefore be used cautiously in patients with chronic kidney disease in case an arteriovenous fistula might one day need to be created for hemodialysis. [40] [41] However, PICC lines are desirable for several reasons. They can provide venous access for up to one year.
If having thrombophlebitis or thrombosis; pain when using the access is another complication. Peripheral venous access is least prone to thrombosis, followed by midline catheters and the centrally placed catheters. Central venous access is the most common reason for venous thrombosis in children. [citation needed]
The catheters in inserted into the veins in the arm such as the cephalic, basilic, or brachial veins and then advanced towards the heart. The line can then be used for delivery of chemotherapeutic agents. Removal of a PICC is a relatively simple procedure that can be accomplished by a trained nurse even in the outpatient setting.
In angiography, a saline flush is used to improve the dispersion of contrast media before imaging, This can prevent streak artefact due to concentrated bands of contrast media in the superior vena cava and brachiocephalic vein. Flushing can also increase hydration within contrast media, thus reducing the risk of contrast induced nephro toxicity ...
Malpositioning of the catheter happens in 0.1 to 5.6% of the time. This can be due to malposition within or outside the superior vena cava. Causes includes: unexpected branches of the veins, vessel angulations, vein stenosis or venous tortousity. [5] Thrombosis or the formation of a blood clot in the catheter may block the device irrevocably ...
A peripheral venous catheter is the most commonly used vascular access in medicine. It is given to most emergency department and surgical patients, and before some radiological imaging techniques using radiocontrast, for example. In the United States, in the 1990s, more than 25 million patients had a peripheral venous line each year. [2]
Deep vein thrombosis/ right leg. Thrombophlebitis causes include disorders related to increased tendency for blood clotting and reduced speed of blood in the veins such as prolonged immobility; prolonged traveling (sitting) may promote a blood clot leading to thrombophlebitis but this occurs relatively less.