"Extended subcutaneous route" technique: a quick subcutaneous tunnelling technique for PICC insertion. Issue 3 (May 2017)

• Record Type: Journal Article
• Authors: Elli, Stefano; Abbruzzese, Chiara; Cannizzo, Luigi; Vimercati, Simona; Vanini, Stefania; Lucchini, Alberto
• Is Part Of: Journal of vascular access. Volume 18:Issue 3(2017)
• Page Start: 269
• Page End: 272
• Publication Date: 2017-05
• Subjects: PICC -- Subcutaneous -- Technique -- Tunnel; Arterial catheterization -- Periodicals; Intravenous catheterization -- Periodicals; 612.13
• DOI: 10.5301/jva.5000647
• Languages: English
• ISSNs: 1129-7298

Abstract

Purpose: To describe a quick tunnelling technique for peripherally inserted central catheter (PICC) insertion called the "extended subcutaneous route" technique. Methods: The "extended subcutaneous route" technique is described step by step. Results: In 18 consecutive PICCs, inserted with extended route technique in ASST Monza, no complications during insertion were registered. In 969 catheter days observed, we identified only one accidental dislodgement. No other mid-term complications were observed. Conclusions: Extended subcutaneous route technique allows the creation of a subcutaneous tunnel <5 cm, without skin incision and additional manipulation. Extended subcutaneous route technique may be feasible and useful, particularly for patients with high risk of bleeding or infection.