Central venous access for infusion of drugs remains crucial in longterm clinical care. Peripherally inserted central catheters (PICCs) are widely used as central venous access due to a lower risk of major complications including catheter-related bloodstream infections compared to standard central venous catheters. 1,2 However, correct guidance and thus positioning of PICCs with the catheter tip in the superior vena cava (SVC) can be challenging. This is reflected by a high rate of mispositioning of up to 35% eg in the internal jugular vein (IJV). [3][4][5] In case of mispositioning not discovered immediately, postprocedural corrections or complete reinsertion procedures are required adding strain on patients, logistics and hospital expenditures.Methods of ensuring correct PICC tip position include fluoroscopy, ECG-guidance and conventional post-procedural chest radiographs. 4,6 However, all of these methods merely display the end result and do
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