Intravascular ECG During Insertion of Peripheral Inserted Central-venous Catheters: Replacement for Chest X-ray?

May Intravascular Electrocardiography (IVECG) During Insertion of Peripheral Inserted Central-venous Catheters (PICC-line) Replace Chest X-ray?

This study will provide further knowledge concerning the use of electrocardiography (ECG) signals for verification of peripherally inserted central catheter (PICC) tip placement. Furthermore, it will be investigating whether use of Intravascular ECG (IVECG) for this verification is just as good as or even better than the current standard method with chest X-ray. This can help promote a method that involves less radiation and increased safety for patients, while at the same time saving resources. If use of ECG signals from the PICC tip is an equally exact method for verification of correct PICC tip placement as chest X-ray verification, the IVECG could replace chest X-ray control.

Inclusion Criteria:

• In need for PICC
• >18 years old
• Competent to give consent

Exclusion Criteria:

• Not visible p-wave on surface ECG (electrocardiograph)
• Patients with known Atrial fibrillation or atrial flutter
• Implanted pacemaker (PM) and/or implanted Implantable Cardioverter Defibrillator (ICD)
• Not signed written informed consent