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"Extended subcutaneous route" technique: a quick subcutaneous tunnelling technique for PICC insertion.
Stefano Elli1, Chiara Abbruzzese1, Luigi Cannizzo1
1Emergency Department and Intensive Care, University of Milan-Bicocca, A.S.S.T. Monza, San Gerardo Hospital, Monza (MB) - Italy.
The Journal of Vascular Access
|February 7, 2017
Summary
A new extended subcutaneous route technique for peripherally inserted central catheter (PICC) insertion is described. This method is safe and effective, with no insertion complications and low dislodgement rates in observed cases.
Area of Science:
- Vascular Access Procedures
- Minimally Invasive Techniques
Background:
- Peripherally inserted central catheters (PICCs) are crucial for long-term venous access.
- Standard PICC insertion can carry risks of bleeding and infection.
Purpose of the Study:
- To introduce and describe the "extended subcutaneous route" technique for PICC insertion.
- To evaluate the safety and efficacy of this novel tunnelling method.
Main Methods:
- Step-by-step description of the "extended subcutaneous route" technique.
- Application of the technique in 18 consecutive PICC insertions.
Main Results:
- Zero complications were recorded during the insertion of 18 PICCs using the extended subcutaneous route.
- Only one accidental dislodgement occurred over 969 catheter days.
- No other mid-term complications were observed.
Conclusions:
- The extended subcutaneous route facilitates a short subcutaneous tunnel (<5 cm) without requiring skin incision or additional manipulation.
- This technique appears feasible and beneficial, especially for patients at high risk of bleeding or infection.
