Central venous catheters (CVCs) help deliver medication, fluids, blood, or nutrition. They can also be useful for monitoring and performing certain tests and procedures.
Placing CVCs or central lines is frequently necessary in acute or critical care.
Read on to learn more about the purposes of CVCs. We also discuss the types, who might need them, and more.
A person may need a CVC for the following reasons:
- to administer medications, such as antibiotics, chemotherapy, and pain medications
- to provide nutrition
- to conduct certain medical tests
A medical professional inserts the CVC in a large central vein in one of the following places:
They then guide it until it rests in a large vein either near the right side of the heart or directly into the heart.
There are different kinds of CVCs.
Implanted ports are ports that medical professionals place under the skin, typically in the chest. In some cases, medical professionals may place them under the arm.
To use the port, a healthcare professional pushes a needle through the skin and into the port. This port needle connects with the tubing of the port to deliver treatment.
Other names for implanted ports are portacaths and subcutaneous ports.
Tunneled catheters travel under the skin, away from the point of entry into the vein. These can stay for
Other names for tunneled catheters include:
- Groshong catheters
- Hickman catheters
- Broviac catheters
Unlike a tunneled catheter, a non-tunneled catheter inserts directly into the large vein instead of traveling through the vein under the skin.
They are most common in acute and emergency situations because of their easy insertion. However, they have a short duration of use and require changing within a few days to a week.
Peripherally inserted central catheters (PICC)
PICC lines involve placing a flexible tube in the arm and passing it through a vein that leads to the superior vena cava (SVC) near the heart.
Its end sticks out of the arm through the skin with a clear dressing over it. The PICC may remain for weeks or months. It allows doctors to administer medication such as antibiotics or chemotherapy drugs.
- they have veins that are fragile or hard to find
- it is not possible to place an IV in one or both arms
- treatment will last for at least a number of months
- there is damage to the veins from previous treatment
- they need several infusions at once
- they need total parenteral nutrition (TPN)
- they require medication that is too strong or will cause skin damage if it leaks outside a peripheral IV
- they need several infusions at once
- central venous pressure
- pulmonary artery pressure
- central venous oxyhemoglobin saturation
As medications go directly to the large vein near the heart, CVCs may also reduce pain and discomfort.
They also accommodate large amounts of fluids and medications that might not go through regular IVs. Depending on the type of CVC, they can also stay in place longer — from weeks to months — making them ideal for long-term treatments.
The procedure for inserting CVCs depends on the type a person needs.
For PICCs and non-tunneled CVCs, it
They will then make a small incision in the vein to insert the tube into it before moving, or “threading,” it through the vein.
For a tunneled CVC, a doctor makes two incisions: one at the entry site where the catheter enters the body and one at the exit site or the area where the catheter enters the vein.
Placing implanted ports is a short surgical procedure that involves creating two incisions: one in the neck to reach the large vein and one in the chest, arm, or abdomen to hold the port in place.
Depending on the type of CVC, a person
If a person is going to receive treatment at home, they will receive information about how to care for their central venous catheter.
- blood clots
- blockage due to clotted blood
- accidental removal of the CVC
- injury to the windpipe or trachea
- puncture to an artery
- puncture to the lung with or without collapsed lung (pneumothorax)
- central vein stenosis
- air embolism
- moving of the CVC, which will require repositioning
Medical professionals will take steps to reduce these risks. If any do occur, they will be able to recommend treatments or reposition the CVC as necessary.
Medical professionals insert
Around 8% of people in hospitals require central venous access.
Here are some frequently asked questions about CVCs.
What are the four main types of central venous catheters?
What is the difference between a PICC line and a CVC?
A PICC line is a type of CVC. CVCs are catheters that enter a large vein near the heart or directly into the heart. A PICC line is a CVC with a catheter that passes through a vein in the arm, chest, or abdomen and leads to the large vein near the heart.
Central venous catheters (CVCs) are medical devices common in acute and critical care settings. They can facilitate long-term treatment, continuous monitoring, and certain types of procedures.
CVCs also come with risks such as bleeding, structure injury or damage, and infection. Despite these risks, their many benefits make them integral to medical care.