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Sequential inferior vena cava filter insertion and peripherally inserted central catheter placement through upper
D H Ballard1, A Hamidian Jahromi1, J A Weisman2
1Department of Surgery, Louisiana State University Health Shreveport, 1501, Kings Highway, Shreveport, 71130 Louisiana LA, United States.
Sequential placement of inferior vena cava filters (IVCF) and peripherally inserted central catheters (PICC) using a single upper extremity venous access is feasible and safe. This combined technique offers patients central venous access for therapies and blood draws.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Medical Device Technology
Background:
- Inferior vena cava filters (IVCF) prevent pulmonary embolism.
- Peripherally inserted central catheters (PICC) provide long-term venous access.
- Combined procedures can optimize patient care and resource utilization.
Purpose of the Study:
- To evaluate the feasibility and safety of sequential IVCF and PICC insertion.
- To assess the utility of using a single upper extremity venous access site for both procedures.
Main Methods:
- Retrospective review of 379 patients undergoing IVCF insertion over 39 months.
- Analysis of 28 patients with sequential IVCF and PICC placement via the same access site.
- Data collection included indications, duration, access site, complications, and IVCF type.
Main Results:
- Sequential IVCF and PICC insertion was performed in 28 patients.
- Right upper extremity access was used in 96.4% of cases (brachial, basilic, cephalic veins).
- No procedural complications were reported; filters used were OptEase and TrapEase.
Conclusions:
- Simultaneous IVCF and PICC insertion via the same upper extremity access is feasible and safe.
- This technique provides essential central venous access for therapies and blood collection.
- The combined approach enhances patient management by consolidating venous access procedures.
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