Placement of tunneled peripherally inserted central catheter for long-term chemotherapy in femoral vein in a patient with major vessel thrombosis of upper extremity

Peripherally inserted central catheter (PICC) placement can be extremely challenging and difficult in certain situations. In this case report, we have described PICC placement in right femoral vein in a patient who had thrombosis of arm veins and great veins in neck. We have described a unique way of tunneling the catheter in lower abdominal wall so as to use it for long term and avoid infections which is common with groin lines.