It is scarey how much we think a like.  I was thinking the exact same thing.  It has happened to me on several occasions and looked like a small curl.
 
Heather Nichols RN BSN CRNI
Infusion Services
University of Louisville Trauma Institute
530 S. Jackson St.
Lou. Ky. 40202
(502)562-3530

>>> <[EMAIL PROTECTED]> 9/14/2006 8:41 PM >>>
Could it be in the azygous vein?  
 
 
-----Original Message-----
From: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]; [EMAIL PROTECTED]
Sent: Thu, 14 Sep 2006 3:33 PM
Subject: Re: [vascular] PICC in SVC with curl

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. 
>> 
>>-W hat 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 < BR>>> +32 16 346831 
>>Fax: +32 16 346834 
>>[EMAIL PROTECTED] 
>><mailto:[EMAIL PROTECTED]
>> 
>> 
>> 
>> 
>> 
>> 
>> 
>>[Non-text portions of this message have been removed] 
>> 
>> 
>> 
>>MedComp Proud Sponsor of the Vascular List Serve. >>Yahoo! Groups Links 
>> 
>> 
>> 
>> 
>> 
>> 
>> 
>> 
>> 
>> 
>> 



>MedComp Proud Sponsor of the Vascular List Serve. >Yahoo! Groups Links 
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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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