Hi Nadine,
Our radiology group calls them SBCC - small bore central catheter.  In fact they have published this in Radiology. These are mostly used for renal patients. 
"Tunneled Jugular Small-Bore Central Catheters as an Alternative to Peripherally Inserted Central Catheters for Intermediate-term Venous Access in Patients with Hemodialysis and Chronic Renal Insufficiency" 
Sassadeusz, Trerotola, Shah, Namyslowski, Johnson, Moresco, and Patel   Radiology 1999; 213:303-306
Nancy Costa CRNI
----- Original Message -----
Sent: Tuesday, August 15, 2006 10:29 PM
Subject: RE: tunneled small-bore CVCs

Does anyone have a good name for these "small bore tunneled CVCs" that can be placed into the IJ with a short tunnel, that are 6 or 7 Fr in size?   Tim or Ann:   What do you call these lines?  Especially if they are a PICC that has been trimmed and used in the IJs for patients with no decent vasculature in the arms for a regular PICC??

Our IR Chief feels that if the PICC team refers them a patient where we failed to get the PICC in, they will likely have the same troubles.  Bad veins are bad veins.  He wants to start putting in these lines when we refer them to IR for a failed PICC insertion.  I think it dovetails very well with earlier discussions about all the bad vasculature out there.  It's getting to be a real problem.

Our numbers are excellent and we seen to only refer the truly difficult access situations.

Nadine Nakazawa, RN, BS, OCN
PICC Program Coordinator
Stanford University Hospital and Clinics
Stanford University Medical Center


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