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Updated: Dec 24, 2025

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
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Technique for replacement of Groshong® peripherally inserted central venous catheters (PICCs) in children

Stefano Benvenuti1, Filippo Parolini2, Rosanna Ceresoli3

  • 1Department of Pediatric Surgery, Children's Hospital, ASST-Spedali Civili of Brescia, Brescia, Italy - stefano.benvenuti@asst-spedalicivili.it.

Minerva Pediatrics
|April 11, 2020
PubMed

Insights

This study introduces a safe and simple technique for replacing dislodged valved peripherally inserted central catheters (PICCs) in children using the same insertion vein. The method preserves venous access, offering a valuable alternative for pediatric patients requiring central venous access.

Area of Science:

  • Pediatric Interventional Radiology
  • Vascular Access Devices
  • Minimally Invasive Procedures

Background:

  • Peripherally inserted central catheters (PICCs) are increasingly used in children.
  • Dislodged valved PICCs typically require removal and reinsertion in a new vein.
  • Preserving venous access is crucial in pediatric patients.

Purpose of the Study:

  • To present a novel technique for replacing displaced valved PICCs in children.
  • To evaluate the safety and feasibility of PICC replacement over a guidewire in the same insertion vein.
  • To highlight the benefits of this technique for maintaining pediatric venous access.

Main Methods:

  • A prospective study of consecutive pediatric patients requiring PICC replacement due to displacement.
  • Procedures performed bedside under local anesthesia using a Seldinger guidewire technique.
  • Detailed description of the PICC replacement steps within the same entrance vein.

Main Results:

  • The technique was successfully performed in 19 pediatric patients (mean age 10.4 years).
  • The average procedure time was 12 minutes, described as quick and painless.
  • No complications were observed during the procedure or follow-up.

Conclusions:

  • PICC replacement using the same entrance vein is a simple, safe, and feasible technique.
  • This method effectively preserves children's venous access.
  • The technique offers significant benefits for pediatric patients needing central venous access.
Abstract

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