{"id":19377,"date":"2024-02-22T13:45:08","date_gmt":"2024-02-22T06:45:08","guid":{"rendered":"https:\/\/abdiwaluyo.com\/?p=19377"},"modified":"2025-02-24T15:12:00","modified_gmt":"2025-02-24T08:12:00","slug":"central-venous-access-what-is-the-difference-between-the-central-venous-catheter-cvc-and-peripherally-inserted-central-catheter-picc","status":"publish","type":"post","link":"https:\/\/abdiwaluyo.com\/en\/health-info\/central-venous-access-what-is-the-difference-between-the-central-venous-catheter-cvc-and-peripherally-inserted-central-catheter-picc\/","title":{"rendered":"Central Venous Access, What is the Difference Between the Central Venous Catheter (CVC) and Peripherally Inserted Central Catheter (PICC)?"},"content":{"rendered":"

By:\u00a0 Thalia Kaylyn Averil<\/strong><\/em><\/span><\/p>\n

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Access to the central venous system is carried out using a Central Venous Catheter (CVC) or Peripherally Inserted Central Catheter (PICC). This is necessary for intravenous therapy, blood sampling, monitoring, and various other medical procedures, especially when peripheral venous access is not possible. CVC comes in tunneled and non-tunneled types. Tunneled CVC is inserted from beneath the skin towards the cannulation point, while non-tunneled CVC is directed straight to the cannulation point. Therefore, non-tunneled CVC needs to be replaced every few days to a week, while tunneled CVC can remain in place for weeks or even months. On the other hand, PICC is usually recommended for short to medium-term use, ranging from 4 weeks to 6 months.<\/span><\/p>\n

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The CVC insertion procedure involves placing a catheter directly into large veins, such as the femoral vein, internal jugular vein, subclavian vein, superior vena cava, or inferior vena cava. This is different from PICC installation, which places the catheter in veins located in the arm, such as the basilic vein, brachial vein, cephalic vein, or median cubital vein. Those veins will converge into one of the major veins located around the heart, namely the superior vena cava. PICC uses the Seldinger technique, which consists of puncturing the vein with a needle, inserting a guidewire into the vein, and then moving the catheter along the guidewire. Both procedures often use ultrasound guidance to reduce complications and increase first-pass success, but ultrasound is more frequently used in CVC.<\/span><\/p>\n

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Figure 1. Central Venous Catheter (CVC).<\/p><\/div>\n

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Figure 2. Peripherally Inserted Central Catheter (PICC).<\/p><\/div>\n

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Indications for CVC are:<\/span><\/p>\n