It is a long, thin, flexible tube (catheter) that is inserted into one of the large veins in the upper arm, just above the elbow. Guided by ultrasound, it is threaded along the vein into a place near the heart.
This procedure is performed under local anaesthetic. The PICC can be inserted into either arm depending on your preference, medical condition and history. After insertion, you can go home with the PICC, and it can be left in place for weeks or months until you complete your treatment.
It is recommended for long-term treatments that require:
The benefits of having a PICC in place include:
While a PICC is generally very safe, there are still potential risks and complications.
Risks during insertion:
Complications after insertion:
The doctor will determine whether a PICC would be the best device for you based on your treatment, medical condition and history. A Port-a-Cath or Hickman Line are alternative options.
You will be asked to lie on a bed, on your back with your arms outstretched and well-supported. The insertion area on your arm will then be cleaned with antiseptic fluid to ensure that it is sterile.
A local anaesthetic will be injected into your arm to make the area numb before a small incision is made in the skin of the arm at the insertion point. The PICC will be threaded gently into the vein and passed along its course, guided by ultrasound, to be placed near the heart. You should not feel any pain except for a bit of discomfort.
Once the PICC is in position, a skin fixation device and dressing will be placed at insertion point to secure the catheter.
To avoid infection, you need to:
Our dedicated nurses will provide you with any assistance to help you care for your PICC.
After you have completed your treatment and no longer need the PICC, an appointment will be made to remove it.
The information on the Centre For Clinical Haematology website is intended for educational use. It should not be considered or used as a substitute for medical advice, diagnosis or treatment from a qualified health professional.
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The CFCH team is committed to providing patient-centred care and comprehensive multidisciplinary support through every stage of your journey with us.
During your initial consultation, you'll meet our doctors who will listen to your concerns and begin your evaluation and recommend the necessary investigations required.
After diagnosis, we will plan your care, tailoring treatment options to your unique needs for the optimal outcome.
Throughout your treatment journey, we will provide a supportive environment to closely monitor your progress, ensuring your comfort and adjusting care as needed.
After treatment, we will continue to support you with a holistic approach to your recovery, to ensure that both your physical and mental wellbeing are looked after.