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Peripherally inserted central catheter (PICC) placement: beware of the bends
  1. Aditya Badheka,
  2. Kristen Brown,
  3. 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}

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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 …

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