A Single-Center Experience of Fluoroscopic-Guided Peripherally Inserted Central Catheter Insertion by Nursing Staff: Rationale and Clinical Outcomes

Medical staff traditionally perform most peripherally inserted central catheters (PICCs) insertions in our tertiary Australian center. Centers that run ward-based PICC services have higher malposition and reattempt rates than fluoroscopy-guided insertion. Patients with repeated line requirement and preexisting central venous stenosis or occlusion make these technical difficulties more difficult to overcome without fluoroscopy. A...