Where are common insertion sites for PICC lines?

Where are common insertion sites for PICC lines?

• A. Lower arm veins
• B. Upper arm: basilic, brachial, and cephalic veins
• C. Femoral veins
• D. Subclavian veins only

Answer: (B)

PICC (Peripherally Inserted Central Catheter) lines are typically inserted into specific veins in the upper arm, primarily targeting the basilic, brachial, and cephalic veins. These veins are chosen due to their proximity to the central circulation while still being classified as peripheral. The basilic vein is often preferred for its larger diameter and more direct path to the central venous system, while the brachial and cephalic veins are also viable options. In contrast, the lower arm veins are generally not utilized for PICC insertion because they do not provide a reliable route to the central venous circulation. Femoral veins and subclavian veins are typically associated with other types of central venous access devices and are not standard sites for PICC line insertion due to higher risks of complications such as infection or thrombosis. The upper arm veins facilitate easier insertion and offer lower complication rates, making them the ideal choice for PICC line placement.

PICC (Peripherally Inserted Central Catheter) lines are typically inserted into specific veins in the upper arm, primarily targeting the basilic, brachial, and cephalic veins. These veins are chosen due to their proximity to the central circulation while still being classified as peripheral. The basilic vein is often preferred for its larger diameter and more direct path to the central venous system, while the brachial and cephalic veins are also viable options.

In contrast, the lower arm veins are generally not utilized for PICC insertion because they do not provide a reliable route to the central venous circulation. Femoral veins and subclavian veins are typically associated with other types of central venous access devices and are not standard sites for PICC line insertion due to higher risks of complications such as infection or thrombosis. The upper arm veins facilitate easier insertion and offer lower complication rates, making them the ideal choice for PICC line placement.