Tunneled Catheter/Line Insertion

What Is a Tunneled Catheter/Line?

Your provider may request a tunneled catheter/line for long-term therapy use or need for repeated access. The catheter/line is placed through a small tract into a vein in the neck, with a small ring that wraps around the catheter as it exits the skin on the chest or shoulder area.

Before Your Procedure

• Radiation is used for this exam. Please notify your doctor if you are pregnant.
• You may eat and drink as normal. If you are not on a fluid restriction, drink plenty of fluids the day before the procedure.
• Certain medications cannot be taken prior to this procedure; your doctor will provide instructions if you need to adjust your medication.

During Your Procedure

A team of nurses, imaging technologists, and provider (doctor, physician assistant or nurse practitioner) will explain and perform the procedure.

• Nurse places an IV for sedation and pain medication.
• Imaging technologist positions you, lying on your back, on the X-ray table.
• Nurse places monitors on your arm and hand to measure your blood pressure, heart rate and oxygen level. You may receive oxygen during this procedure. Sedation medication is given to help with pain and relaxation.
• Technologist cleans your neck and shoulder with a special soap.
• Provider uses a small needle to inject numbing medication before inserting a small tube / catheter.
• Using ultrasound, the provider guides the catheter/line under the skin and into the vein. You may feel a tugging or pulling sensation as the catheter/line is tunneled.
• Catheter/line is stitched into place and ready to use.
• The procedure takes approximately 60 minutes.

After Your Procedure

• A chest X-ray may be taken after the procedure to verify placement of the catheter in an upright position.
• You are monitored for 30 minutes or longer per provider discretion.
• Nurses provide home instructions to care for your tunneled catheter/line.
• Follow-up care is a key part of your health. Be sure to make and go to all appointments and call your primary care provider if you have questions.