▁( PI CC , ▁pron ounced ▁" pick "), ▁is ▁a ▁form ▁of ▁v asc ular ▁access ▁that ▁is ▁inserted ▁at ▁a ▁peri pher al ▁site ▁such ▁as ▁the ▁ve ins ▁of ▁the ▁arms ▁and ▁extends ▁in ▁the ▁central ▁ven ous ▁system ▁at ▁the ▁superior ▁v ena ▁c ava . ▁The ▁c ath eters ▁in ▁inserted ▁into ▁the ▁ve ins ▁in ▁the ▁arm ▁such ▁as ▁the ▁ce phal ic , ▁bas il ic , ▁or ▁bra ch ial ▁ve ins ▁and ▁then ▁advanced ▁towards ▁the ▁heart . ▁The ▁line ▁can ▁then ▁be ▁used ▁for ▁delivery ▁of ▁chem other ape ut ic ▁agents . ▁Rem oval ▁of ▁a ▁P IC C ▁is ▁a ▁relatively ▁simple ▁procedure ▁that ▁can ▁be ▁accomplished ▁by ▁a ▁trained ▁nur se ▁even ▁in ▁the ▁out pat ient ▁setting . ▁The ▁area ▁is ▁band aged ▁and ▁allowed ▁to ▁he al . ▁ ▁Tun ne led ▁c ath eters ▁ ▁A ▁tun ne led ▁c ath eter ▁is ▁a ▁c ath eter ▁( a ▁thin ▁t ube ) ▁that ▁is ▁placed ▁in ▁a ▁ve in ▁for ▁long - term ▁use . ▁It ▁is ▁most ▁commonly ▁placed ▁in ▁the ▁neck ▁( internal ▁jug ular ) ▁but ▁may ▁also ▁be ▁placed ▁in ▁the ▁gro in ▁( f em oral ), ▁li ver ▁( trans he p atic ), ▁ch est ▁( sub c lav ian ) ▁or ▁back ▁( trans l um bar ). ▁ ▁The ▁c ath eter ▁is ▁inserted ▁into ▁the ▁vessel ▁under ▁ul tras ound ▁or ▁flu or os cop ic