PIC Port Placement

Context and indications

The PIC port is a central venous access device that combines the advantages of the PICC line (arm insertion) and the port-a-cath (subcutaneous implantable chamber). It is offered for long-term treatments (chemotherapy, prolonged antibiotic therapy, parenteral nutrition) in patients requiring reliable venous access.

Benefits

Arm insertion (no subclavian or jugular puncture), discreet implantable chamber on the arm, reduced pneumothorax risk, daily comfort (swimming possible), extended duration of use.

Procedure

Under local anesthesia, an arm vein (basilic or brachial) is punctured under ultrasound guidance. The catheter is advanced to the superior vena cava/right atrium junction under fluoroscopy. A small chamber is implanted under the skin of the inner arm. The procedure takes approximately 30-45 minutes.

Risks

Arm vein thrombosis, device infection, catheter malposition, mechanical dysfunction, phlebitis. Pneumothorax risk is virtually zero unlike thoracic port-a-cath.

Follow-up

Same-day discharge. Chest X-ray to verify position. The device is immediately usable. Maintenance flushing every 4-6 weeks when not in use.

Practical information

The procedure is performed under local anesthesia on an outpatient basis (same-day discharge).