Fluoroscopy-guided peripherally inserted central catheter line insertion: assessment of technical success, complications, and quality metrics in a clinical audit: A cross-sectional study.

Dr Tripuraneni Rajesh  Kumar; Dr Elaprolu  Praveen; Dr Yogesh P  Tandel

doi:10.51168/sjhrafrica.v6i12.2399

Authors

Dr Tripuraneni Rajesh Kumar Department of Radiology ,Professor Konaseema Institute of Medical sciences, Amalapuram
Dr Elaprolu Praveen Department of Radiology ,Associate Professor, Mamata Medical College, Khammam
Dr Yogesh P Tandel DMRE

DOI:

https://doi.org/10.51168/sjhrafrica.v6i12.2399

Keywords:

Peripherally inserted central catheter, Fluoroscopy-guided insertion, Clinical audit, Vascular access, Quality metrics

Abstract

Background

Objective: To assess the technical success rate, complication profile, and selected quality metrics of fluoroscopy-guided PICC line insertions performed in a clinical setting.

Methodology

This clinical audit was conducted in a hospital-based interventional radiology unit over a defined study period. All patients who underwent fluoroscopy-guided PICC line insertion during the audit period were included. Data were collected retrospectively from procedure records and patient case files. Parameters assessed included technical success, catheter tip position, procedure-related complications, and predefined quality indicators such as procedure time and need for repositioning. Data were analysed using descriptive statistical methods.

Results

Fluoroscopy-guided PICC line insertion demonstrated a high technical success rate with accurate catheter tip placement in the majority of cases. Procedure-related complications were infrequent and predominantly minor in nature. Quality metrics indicated satisfactory procedural efficiency with minimal requirement for catheter repositioning. Overall performance was found to be consistent with established quality benchmarks. The PICC line insertion using fluoroscopy resulted in a technical success rate of 95.9% (70/73 cases) and the optimal catheter tip placement at the cavoatrial junction in 82.2% of the patients. There were very few complications, and only minor ones were observed in 9.6% of cases, and no major complications. The efficiency and safety were confirmed by quality metrics (90.4% first-attempt accuracy, mean procedure time 25 + 6 minutes).

Conclusion

The clinical audit suggests that fluoroscopy-guided PICC line insertion is a safe and effective technique with high technical success and a low complication rate. Regular auditing of procedural outcomes and quality indicators is essential for maintaining standards of care and for continuous quality improvement in vascular access services.

Recommendation

To maintain a high level of technical success, reduce the risk, and enhance the quality control of the services in the sphere of vascular accesses, standardized protocols and constant training are recommended

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