BMJ Case Reports 2018; doi:10.1136/bcr-2018-224688
  • Images in…

Peripherally inserted central catheter (PICC) placement: beware of the bends

  1. Veerajalandhar Allareddy
  1. Department of Pediatrics, Stead Family Children’s Hospital, University of Iowa, Iowa City, Iowa, USA
  1. Correspondence to Dr Aditya Badheka, aditya-badheka{at}
  • Accepted 6 April 2018
  • Published 11 April 2018


The peripherally inserted central catheter (PICC) is used as a long-term vascular access to deliver medications and venous nutrition. The PICC tip terminates close to the heart or in one of the great vessels—the superior vena cava or the inferior vena cava. Catheter tip confirmation is usually achieved by plain radiography. We describe a case of a 9-month-old boy with complex congenital heart disease (heterotaxy syndrome, polysplenia type) who underwent pulmonary artery banding to reduce pulmonary blood flow to control heart failure symptoms. PICC was placed in the left femoral vein during …

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article