Central Venous Access Devices - The Royal Marsden

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Peripherally inserted central catheters (PICCs)What is a PICC?A peripherally inserted central catheter (PICC) is a tube, which isinserted into a vein in the top of your arm, above the bend of theelbow. It is moved up into the large vein leading to your heart. APICC can be placed in either arm.What are the advantages of a PICC?• You do not have to go to theatre to have it inserted• You do not need a surgical procedure to insert or remove it• It does not leave any scars• There is less risk of complication during insertion4
Central venous access devicesWhat are the disadvantages of a PICC?• The dressing needs to be changed once a week by a carer/relative or nurse• You can’t go swimming with a PICC and it may restrict youcontinuing with other vigorous sporting activities.• It cannot be used for any nuclear medicine test injections andmay only be used for CT or MRI scan injections in certaincircumstances.How is the catheter inserted?VeinCatheterClampInjectioncapHeartDiagram of a PICCA nurse or doctor will locate your vein using an ultrasound machineand then inject a local anaesthetic to remove the sensation from theskin over the vein. A small cannula is inserted into the vein and thenan introducer is inserted through which the catheter is threadeduntil the tip is in the correct position. The introducer is thenremoved and only the catheter is left. A special device is clipped tothe PICC to secure it in place on the skin.5
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Central Venous Access Devices - The Royal Marsden

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