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Clinical Application Analysis of Tunneled-PICC
Advances in Surgical Sciences
Volume 7, Issue 1, June 2019, Pages: 5-8
Received: Dec. 16, 2018; Accepted: Jan. 3, 2019; Published: Feb. 7, 2019
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Yu-Xia Yin, School of Materials Science and Engineering, University of Science and Technology, Beijing, China ; National United Engineering Laboratory for Biomedical Material Modification, Dezhou, China
Lu-Ning Wang, School of Materials Science and Engineering, University of Science and Technology, Beijing, China
Ming-Kun Cao, National United Engineering Laboratory for Biomedical Material Modification, Dezhou, China
Hai-Jun Zhang, National United Engineering Laboratory for Biomedical Material Modification, Dezhou, China; Department of Vascular & Intervention, Tenth Peoples' Hospital of Tongji University, Shanghai, China; Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark
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Peripherally inserted central catheters (PICCs) play a critical role in the infusion of parenteral nutrition, chemotherapy and intravenous fluids for the increased safety and efficacy for long-term use. However, during the insertion and management of PICCs, there are still some PICC-related complications need to be reduced as much as possible for both operators and researchers. In this case, the tunneled-PICC provides a new “a nedesl subcutaneous route” technology for PICC application. This article reviews the principle and characteristics of tunneled-PICC. Tunneled PICCs, seems to be a safe option and easy to perform as an alternative to standard placement for its advantages of the better exit location, reduced incidences of thrombosis and infection, reduced the shift rate as well as extended retention time. However, more research on the standard tunneling technique and large-scale clinical applications need to be proposed.
Peripherally Inserted Central Catheters (PICC), Tunneled-PICC, Intracavitary Electrocardiogram (IC-ECG), Ultrasound Guidance
To cite this article
Yu-Xia Yin, Lu-Ning Wang, Ming-Kun Cao, Hai-Jun Zhang, Clinical Application Analysis of Tunneled-PICC, Advances in Surgical Sciences. Vol. 7, No. 1, 2019, pp. 5-8. doi: 10.11648/j.ass.20190701.12
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Royal College of Nursing. Standards for Infusion Therapy in the RCN IV Therapy Forum [J]. London Royal College of Nursing 2010.
Pittiruti M, Hamilton H, Biffi R, et al. ESPEN Guidelines on Parenteral Nutrition: central venous catheters (access, care, diagnosis and therapy of complications) [J]. Clinical nutrition (Edinburgh, Scotland), 2009, 28(4): 365-377.
Al R B, Fakih M G, Bryannomides N, et al. Peripherally inserted central venous catheters in the acute care setting: A safe alternative to high-risk short-term central venous catheters [J]. American journal of infection control, 2010, 38(2): 149-153.
Dobson L, Wong D G. Development of a Successful PICC Insertion Program[J]. Journal of Vascular Access Devices, 2001, 6(4):31-34.
Moureau N L. Using ultrasound to guide PICC insertion [J]. Nursing, 2003, 33(12): 20.
Nicholson J. Development of an ultrasound-guided PICC insertion service [J]. British journal of nursing (Mark Allen Publishing), 2010, 19(10): S9-17.
Pittiruti M, La Greca A, Scoppettuolo G. The electrocardiographic method for positioning the tip of central venous catheters [J]. The journal of vascular access, 2011, 12(4): 280-291.
Mauro P, Daniele B , Ermanno B , et al. The intracavitary ECG method for positioning the tip of central venous catheters: results of an Italian multicenter study [J]. Journal of Vascular Access, 2012, 13(3):357-365.
Oliver G, Jones M. ECG-based PICC tip verification system: an evaluation 5 years on [J]. British journal of nursing (Mark Allen Publishing), 2016, 25(19): S4-s10.
Moran J, Colbert C Y, Song J, et al. Screening for novel risk factors related to peripherally inserted central catheter-associated complications [J]. Journal of hospital medicine, 2014, 9(8): 481-489.
Prandoni P, Polistena P, Bernardi E, et al. Upper-extremity deep vein thrombosis. Risk factors, diagnosis, and complications [J]. Archives of internal medicine, 1997, 157(1): 57-62.
Haider G, Kumar S, Salam B, et al. Determination of complication rate of PICC lines in oncological patients [J]. JPMA The Journal of the Pakistan Medical Association, 2009, 59(10): 663-667.
Evans R S, Sharp J H, Linford L H, et al. Risk of symptomatic DVT associated with peripherally inserted central catheters [J]. Chest, 2010, 138(4): 803-810.
Vidal V, Muller C, Jacquier A, et al. Prospective evaluation of PICC line related complications [J]. Journal de radiologie, 2008, 89(4): 495-498.
Marnejon T, Angelo D, Abu Abdou A, et al. Risk factors for upper extremity venous thrombosis associated with peripherally inserted central venous catheters [J]. The journal of vascular access, 2012, 13(2): 231-238.
Debourdeau P, Kassab Chahmi D, Le Gal G, et al. 2008 SOR guidelines for the prevention and treatment of thrombosis associated with central venous catheters in patients with cancer: report from the working group [J]. Ann Oncol, 2009, 20:1459–1471.
Chaukiyal P, Nautiyal A, Radhakrishnan S, et al. Thromboprophylaxis in cancer patients with central venous catheters. A systematic review and meta-analysis [J]. Thrombosis and haemostasis, 2008, 99(1): 38-43.
Dawson R B. PICC Zone Insertion MethodTM (ZIMTM): A Systematic Approach to Determine the Ideal Insertion Site for PICCs in the Upper Arm [J]. Journal of the Association for Vascular Access, 2011, 16(3): 156,62-60,65.
Listed N. Peripherally inserted tunnelled catheters: a new option for venous access [J]. Minimally Invasive Therapy, 2009, 10(4-5):231-234.
Fabiani A, Dreas L, Sanson G. Tunnelling a midline catheter: When the traffic light shifts from yellow to green [J]. 1724-6032 (Electronic).
Elli S, Abbruzzese C, Cannizzo L, et al. "Extended subcutaneous route" technique: a quick subcutaneous tunnelling technique for PICC insertion [J]. The journal of vascular access, 2017, 18(3): 269-272.
Ostroff MD, Moureau N L. Report of Modification for Peripherally Inserted Central Catheter Placement: Subcutaneous Needle Tunnel for High Upper Arm Placement [J]. Journal of infusion nursing : the official publication of the Infusion Nurses Society, 2017, 40(4): 232-237.
Konstantinou E. PICC lines. To tunnel or not? [J]. Journal of the Association for Vascular Access, 2015, 20(4): 262.
Nawawi O, Abdullah B J J, Kifli N Z D. Comparison of blood stream infection rate between conventional peripherally inserted central line (PICC) and tunneled PICC [J]. Journal of Sound & Vibration, 2001, 242(242): 740-748.
BJJ, Abdullah; A, Vijaynanthan; O, Nawawi. Tunneled peripherally inserted central catherer-How we do them[J]. Journal of Health and Translational Medicine, 2017, 20(2): 8-12.
Saijo F, Odaka Y, Mutoh M, et al. A novel technique of axillary vein puncture involving peripherally inserted central venous catheters for a small basilic vein [J]. The journal of vascular access, 2018, 19(3): 311-315.
Goel D, Yadav B, Lewis P, et al. Tunneled Catheter Placement in a Pediatric Patient: A Novel Approach [J]. Journal of the Association for Vascular Access, 2017, 22: 204-209.
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