title: Two successful insertions of peripherally inserted central catheter in a super elderly patient with bilateral pacemaker placement.
abstract: Peripherally inserted central catheters (PICCs) have been placed through the peripheral veins, and the best location for the tip of the PICCs is the lower third of the superior vena cava (SVC) and cavo-atrial junction. PICCs are commonly used in intravenous administration, parenteral nutrition therapy, chemotherapy, as well as in critical care units. The success rates in venipuncture are enhanced when ultrasonographic guides are used by the bedside PICC teams. There have been few reports of PICCs placed in super elderly patients with permanent cardiac pacemakers. We share a case of two successful PICC insertions in a 97-year-old patient with bilateral pacemaker placement, that have not been reported previously.
authors.affiliation: Department of Parenteral and Enteral Nutrition, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing - China.
authors.forename: Wenyan
authors.initials: W
authors.lastname: Sun
authors.affiliation: Department of Nursing, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing - China.
authors.forename: Yufen
authors.initials: Y
authors.lastname: Ma
authors.affiliation: Department of Parenteral and Enteral Nutrition, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing - China.
authors.forename: Bing
authors.initials: B
authors.lastname: Liu
authors.affiliation: Department of Parenteral and Enteral Nutrition, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing - China.
authors.forename: Ruibing
authors.initials: R
authors.lastname: Ge
authors.affiliation: Department of Parenteral and Enteral Nutrition, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing - China.
authors.forename: Kai
authors.initials: K
authors.lastname: Wang
authors.affiliation: Department of Parenteral and Enteral Nutrition, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing - China.
authors.forename: Qi
authors.initials: Q
authors.lastname: Song
mesh_terms: D000369:Aged, 80 and over; D006328:Cardiac Catheterization; D002304:Cardiac Pacing, Artificial; D002405:Catheterization, Central Venous / Q000295:instrumentation; D002406:Catheterization, Peripheral / Q000295:instrumentation; D002408:Catheters, Indwelling; D062905:Central Venous Catheters; D006801:Humans; D008297:Male; D010138:Pacemaker, Artificial; D013350:Subclavian Vein / Q000000981:diagnostic imaging; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional; D034941:Upper Extremity / Q000098:blood supply*