Bilateral PICCs

Discussion:

Bilateral PICCs (peripherally-inserted central catheters) are unusual, but maybe required when there are either issues with central venous access or the central venous catheter(s) placed are reserved for a critical function. In this patient there is a dual-lumen catheter inserted via the right internal jugular vein which is solely for the patient's haemodialysis.

Unusually in this case, the entirety of the PICC can be seen on the left, usually the humerus is not included on a chest radiograph, but because the x-ray examination has been performed as a mobile on the critical care unit, optimal positioning has not been possible. The position of the proximal end of the PICC suggests insertion into the basilic vein.

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