PICC Line Placement in the Arm

The procedure of placing a PICC line, or Peripherally Inserted Central Catheter, is a common medical procedure designed to provide direct, safe, and long-term access to the body's central venous system through the arm. It is a thin, flexible, and very long catheter that is inserted into a peripheral vein in the upper arm area, usually above the elbow.

The other end of the catheter is gently advanced within the venous system until it reaches an optimal location in the superior vena cava, very close to the entrance to the right atrium of the heart. This location allows for strong blood flow that quickly dilutes potent medications and prevents irritation of the vein walls. The procedure is suitable for patients requiring prolonged intravenous treatment lasting weeks or even months, such as antibiotics administration, chemotherapy treatments, total parenteral nutrition, or repeated blood draws, thereby saving them the need for repeated needle sticks in the small veins of the hands.
 

The process takes place in a sterile room, usually in the interventional radiology department or by a dedicated team, performed by a physician or certified nurse. The patient receives local anesthesia at the puncture site in the arm to prevent pain during insertion. Using an advanced ultrasound device, the operator locates the most suitable vein and inserts the catheter under precise real-time guidance. After final placement, the catheter is secured to the skin with a special dressing that protects it.