Central Venous Access Management

About Venous Access Management

Venous access may be necessary for a number of reasons, including the infusion of intravenous medication and nutrition, and blood sampling. At Bay Area Vascular Center, we offer placement and removals for ports, peripherally inserted central catheters (PICCs), and IVC Filters. Request An Appointment


A Peripherally Inserted Central Catheter (PICC) is a long, thin plastic tube that functions as an intravenous (IV) line. A PICC line is inserted into a peripheral vein, typically in the upper arm, and advanced under ultrasound and x-ray guidance until the catheter tip terminates in a large vein in the chest. A PICC’s central tip location in the body allows for treatment that could not be achieved with a standard peripheral IV access. In addition, PICC insertions are less invasive, have fewer complications, and can remain in place for a much longer duration than other types of central lines.


Implantable ports are used to facilitate long term intravenous (IV) access, for example, to administer chemotherapy for cancer treatment. The implantable port is placed under the skin and has a small reservoir attached to a catheter which connects to a vein. An implantable port may be permanent, or it may be removed if it is determined that the patient no longer requires a port for access in the near future.

IVC Filter Insertions and Removals

Inferior vena cava (IVC) filters are designed to trap blood clots and keep them from traveling from the leg veins to the lungs. They may be temporary or permanent. During a minimally invasive, image-guided procedure, the filter is placed through a catheter into the IVC, a large vein in the abdomen. Temporary IVC filters can be removed when there is no longer a risk of blood clot fragments traveling to the lungs. During the removal procedure, a special catheter is used to grasp the filter and withdraw it from the body.

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