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Congress: ECR24
Poster Number: C-13035
Type: EPOS Radiologist (educational)
DOI: 10.26044/ecr2024/C-13035
Authorblock: T. Suzuki; Kamogawa-city/JP
Disclosures:
Takahiro Suzuki: Nothing to disclose
Keywords: Interventional vascular, Fluoroscopy, Ultrasound, Catheters, Venous access, Education and training
Learning objectives To learn basics and tips for inserting a peripherally inserted central venous catheter (PICC).
Read more Background A PICC is a long, flexible catheter that serves as a reliable venous access for infusion and blood sampling. While the procedure for inserting a PICC is generally safe, mastery of insertion technique, including ultrasound (US)-guided puncture, is essential to prevent complications related to the insertion process.It is crucial to note that PICC occlusion can occur frequently without proper care. This exhibit shares skills related to PICC, cultivated from the experience of our specialized ‘PICC team’.
Read more Findings and procedure details A: US-guided Puncture TechniqueThe following outlines the basic steps for puncturing under US guidance. It is recommended to practice using a vessel model or simulator, especially if you are unfamiliar with this technique. Position the US probe perpendicular to the target and pierce the skin at the edge of the US probe (Figure 1). Please note that the depth of the needle tip at the US beam changes with the angle between the probe and the skin (Fig. 2). While identifying the...
Read more Conclusion Our tips on PICC insertion and maintenance could be valuable for success. A team with expertise in PICC can elevate the standards of its insertion and management to a high level of quality.
Read more References Sharp R, Carr P, Childs J, Scullion A, Young M, Flynn T, Kirker C, Jackson G, and Esterman A. Catheter to vein ratio and risk of peripherally inserted central catheter (PICC)-associated thrombosis according to diagnostic group: a retrospective cohort study. BMJ Open. 2021;11(7). https://doi.org/10.1136/bmjopen-2020-045895 Nifong TP, and McDevitt TJ. The effect of catheter to vein ratio on blood flow rates in a simulated model of peripherally inserted central venous catheters. Chest. 2011;140(1):48–53. https://doi.org/10.1378/chest.10-2637 Chopra V, Anand S, Hickner A, Buist M, Rogers...
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