Usefulness of peripherally inserted central catheter port system (PICC-PORT) implantation in the sitting position: a new technique for cases unsuitable for conventional implantation

Narita, Akiko; Takehara, Yumi; Maruchi, Yuki; Matsunaga, Naofumi; Ikeda, Shuji; Yokoyama, Izumi; Ota, Terukazu; Suzuki, Kojiro

doi:10.1007/s11604-022-01317-7

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…PICC-ports are central catheters with an implantable chamber placed at arm level, indicated when the chest wall is not accessible for implantation of the chamber (burns or extensive radiotherapy) or for aesthetic reasons. One of their advantages is that they can be placed in the proclive position, in patients who cannot tolerate the lying position [30 ▪ ], without risk of per-procedure gas embolism.…”

Section: Introductionmentioning

confidence: 99%

Long-term intravenous devices: a narrative review of their placement

Roche

2024

Current Opinion in Anaesthesiology

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Purpose of review This review summarizes the latest findings and recommendations about the characteristics, indications and use of peripheral and central long-term venous access devices. The various complications inherent in these devices are becoming better known, and their contributing factors determined, which could make it possible to reduce their incidence. Recent findings Some measures are integrated into recommendations for good practice, such as appropriate selection of devices, the preferential use of the thinnest catheters, and cyanoacrylate glue and dressings impregnated with chlorhexidine. Summary Improving understanding of the phenomena leading to infectious and thrombotic complications, as well as better knowing the differences between intravenous devices and their respective indications, should lead to improvement of in-hospital and out-of-hospital care.

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Section: Introductionmentioning

confidence: 99%

Long-term intravenous devices: a narrative review of their placement

Roche

2024

Current Opinion in Anaesthesiology

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“… 35 PICC is a useful alternative for patients who have had renal transplants with neck vein thrombosis or multiple punctures that can cause chronic anemia or patients who are unable to be in a lying position due to severe pain or breathing difficulties. 36 37 …”

Section: Introductionmentioning

confidence: 99%

Anatomical Structures to Be Concerned With During Peripherally Inserted Central Catheter Procedures

Kim,

Park,

Cho

et al. 2023

J Korean Med Sci

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Background The central line has been frequently used for drug and nutrition supply and regular blood sampling of patients with chronic diseases. However, this procedure is performed in a highly sensitive area and has several potential complications. Therefore, peripherally inserted central catheters (PICC), which have various advantages, are being extensively used. Although the number of PICC procedures is increasing, the anatomy for safe procedures has not yet been properly established. Therefore, we studied basic anatomical information for safe procedures. Methods We used 20 fixed cadavers (40 arms) donated to the Korea University College of Medicine. The mean age was 76.75 years (range, 48–94 years). After dissection of each arm, the distribution pattern of the basilic vein and close structures was recorded, and some important parameters based on bony landmarks were measured. In addition, the number of vein branches (axillary region) and basilic vein diameter were also checked. Results The mean length from the insertion site to the right atrium was 38.39 ± 2.63 cm (left) and 34.66 ± 3.60 cm (right), and the basilic vein diameter was 4.93 ± 1.18 mm (left) and 4.08 ± 1.49 mm (right). The data showed significant differences between the left and right arms ( P < 0.05). The mean distance from the basilic vein to brachial artery was 8.29 ± 2.78 mm in men and 7.81 ± 2.78 mm in women, while the distance to the ulnar nerve was 5.41 ± 1.67 mm in men and 5.52 ± 2.06 mm in women. Conclusion According to these results, the right arm has a shorter distance from the insertion site to the right atrium, and the left arm has a wider vein diameter, which is advantageous for the procedure. In addition, the ulnar nerve and brachial artery were located close to or behind the insertion site. Therefore, special attention is required during the procedure to avoid damaging these important structures.

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Usefulness of peripherally inserted central catheter port system (PICC-PORT) implantation in the sitting position: a new technique for cases unsuitable for conventional implantation

Cited by 2 publications

References 13 publications

Long-term intravenous devices: a narrative review of their placement

Long-term intravenous devices: a narrative review of their placement

Anatomical Structures to Be Concerned With During Peripherally Inserted Central Catheter Procedures

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