The only thing written is an old article from the FDA stating the catheter should lie parallel to the vein wall and be free-floating. The curl would allow greater contact with the vein wall which could increase the risk of thrombosis. But no published info that I know of. Lynn

At 5:26 PM -0400 9/14/06, Nancy Moureau wrote:
SVC is considered acceptable. We have no information about results of curled catheters.

It was great to see you too!

Nancy Moureau, BSN, CRNI
PICC Excellence, Inc
[EMAIL PROTECTED]
1-888-714-1951



---------- Original Message ----------------------------------
From: "Godelieve Goossens" <[EMAIL PROTECTED]>
Reply-To: [EMAIL PROTECTED]
Date:  Thu, 14 Sep 2006 22:40:50 +0200


First of all, thanks to all people I get the opportunity to meet last
week at the AVA conference.  It is always nice to know at least a few
people to whom you are talking (writing to)...

Here I am with a question about a PICC with the catheter tip initially
at the right position at the transition of the RA-SVC.  The 80-years old
patient need a line for supportive therapy (packed cells and blood
platelets).  For one or another reason it moves away and it is still
positioned in the SVC but with a curl.  I flushed already vigorously
with no success.

-What is the riskfor DVT when letting the PICC in place with no action?
Is this described in literature?

-If necessay to get the tip in the right position again (for supportive
therapy which need no central line), what is the best practise?
-Is inserting a new PICC the best decision?

Thanks in advance for your reply,



Lieve





_________________________

G.A. Goossens
Surgical Oncology Departement
Clinical Nurse Specialist IV Care
University Hospitals Leuven
Herestraat 49
B-3000 Leuven, Belgium
Tel:   +32 16 332211 ask for the beep: 18/44650
        +32 16 346831
Fax:    +32 16 346834
[EMAIL PROTECTED]
<mailto:[EMAIL PROTECTED]>







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--
Lynn Hadaway, M.Ed., RNC, CRNI
Lynn Hadaway Associates, Inc.
126 Main Street, PO Box 10
Milner, GA 30257
http://www.hadawayassociates.com
office 770-358-7861

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