Placement of Peripherally Inserted Central Catheters (PICC): The Upper Arm Approach.
10.3348/jkrs.1995.33.6.861
- Author:
Jae Hoon LIM
;
Jung Hwan YOON
;
Sung Wook CHOO
;
In Wook CHOO
;
Dong II CHOI
;
Jae Woong HWANG
;
James C ANDREWS
;
David M WILLIAMS
;
Kyung J CHO
- Publication Type:Original Article
- MeSH:
Arm*;
Catheters*;
Heart Atria;
Humans;
Ocimum basilicum;
Punctures;
Radiology, Interventional;
Silicones;
Subclavian Vein;
Thrombosis;
Urokinase-Type Plasminogen Activator;
Veins;
Vena Cava, Superior
- From:Journal of the Korean Radiological Society
1995;33(6):861-864
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate a recently developed technique to place a medium-duration(weeks to months) central venous access. MATERIALS AND METHODS: Within three-year period, 635 patients were referred to interventional radiology suite for placement of peripherally inserted central catheter(PlCC). Contrast medium was injected into the peripheral intravenous line and a puncture was made into the opacified vein near the junction of the middle and upper thirds of the upper arm, either the brachial or basilic vein under fluoroscopic guidance. A 5.5-French peel-away sheath was inserted into the vein and a 5- French silicone catheter was introduced with its distal tip to the junction of the right atrium and superior vena cava. RESULTS: Catheter placement was successful in all patients unless there was a central venous obstruction. Catheters were maintained from 2 days to 5 months with a mean of 3 weeks. Complications included infection requiring removal of the PICC in 16 patients(2.5%), acute thrombosis of the subclavian vein in 3(0.5%). Occluded catheters in 4 patients were easily cleared with urokinase in place. CONCLUSION: The PICC system is an excellent option for medium-duration cen- tral venous access. Patients were able to carry on normal activities with the catheters in place.
