ABSTRACT
Peripherally Inserted Central Catheter (PICC) lines are about 50–60 cm long and are intended to reach the lower superior vena cava/upper right atrium. The ideal final PICC line tip position is the cavo-atrial junction. They are used for the administration of many different types of treatments, but the main difference from midlines is that they allow infusions to be given that are only suitable for central vein administration. They are ideal for patients who require mid- to long-term therapy. The chapter discusses the PICC line known as Lifecath™ PICC. PICC lines are designed primarily for infusion of TPN and chemotherapy. This needs a high-flow venous conduit with thick venous walls. Therefore, the line has to be positioned centrally, that is, in the lower third of the superior vena cava. It is recommended that a single lumen PICC line is used where possible. This is to reduce the risk of thrombosis related to larger lumen sized devices.
