Case report: PICC line for a toddler with bilateral bidirectional Glenn shunt, Fontan circulation, and persistent left superior vena cava

Abstract

Peripherally inserted central catheter (PICC) has been considered the favorable venous access protocol for children for decades. It is a light or non-sedation procedure where a catheter is inserted at a peripheral site and extended to the superior vena cava with and without the support of high-resolution ultrasound or fluoroscopic venography with contrast injected in a peripheral vein of the selected vein for PICC. 1 The procedure can be implemented at the bedside or in a specialized intravenous suite by trained persons, including anesthesiologists, interventional