A PICC (Peripherally Inserted Central Catheter) is a long, thin catheter inserted through a vein in the arm and advanced to a large vein near the heart. It is used for long-term intravenous therapy such as antibiotics, chemotherapy, or nutrition.

A Midline is a shorter catheter than a PICC, inserted into a peripheral vein in the upper arm and advanced just past the shoulder. It’s used for medium-term therapies (1–4 weeks) that do not require central venous access.

• Length & Placement: PICCs reach the central veins near the heart; midlines do not.
• Duration: PICCs can stay in place longer (weeks to months); midlines are generally for shorter-term use.
• Type of Therapy: Midlines are not used for certain medications (e.g., vesicants) that require central access.

Patients needing long-term IV therapy, frequent blood draws, or medications not suitable for peripheral IVs. The decision is made based on medical needs and vein access.

Insertions are done by specially trained clinicians such as physicians or Registered Nurses with vascular access certification, under sterile conditions and often with ultrasound guidance.

The procedure involves cleaning the area, using ultrasound to locate a vein, inserting the catheter, confirming placement (often via ECG or chest X-ray for PICCs), and securing the line.

Most patients feel only minor discomfort during insertion. Local anesthetic is used to numb the area.

Typically, 30–60 minutes including prep and post-insertion care.

Possible risks include infection, bleeding, catheter dislodgement, blood clots (thrombosis), or improper placement. These are rare with skilled insertion and proper care.

Yes. PICC lines require tip confirmation—either via chest X-ray or ECG-guided technology. Midlines typically do not require post-insertion imaging.

• Flushed regularly with saline/heparin
• Dressing changes every 7 days or when soiled
• Proper hand hygiene and sterile technique must be followed during access

Yes, but the site must be protected with a waterproof cover to prevent infection.

Yes. Many patients are discharged home with home health services for line care and IV therapy.

Removal is a simple, sterile procedure performed by a nurse or provider, typically at bedside.

Contact us via our referral form, call, or EMR message. Provide relevant labs, orders, and clinical notes.

Same-day or next-day services available, depending on scheduling and clinical urgency.

Yes. Our mobile team can perform insertions at hospitals, SNFs, clinics, or homes.

Yes. We bill Medicare and commercial payers under our physician-led professional corporation. Private pay options are also available.

Absolutely. We provide training materials and in-person education as needed.