Hi Tanya

No, the fact that the contrast is injected into the SVC does not change
your imaging.

We are connecting directly to the hub, not a cap.  A CT nurse or doc
then flushes the line and adds a new cap.

Gail

Gail Egan Sansivero, MS, ANP
Nurse Practitioner
Department of Radiology
Albany Medical Center
Albany, New York 12208
Phone 518-262-5149
Fax 518-262-4210

>>> "Nauman, Tanya" <[EMAIL PROTECTED]> 09/27 12:37 PM >>>
We're starting to place Power PICCs on Oct 2.  Two questions have
arisen:
>From CT techs:  Does the contrast injection occurring in the SVC rather
than
the periphery change the timing or decrease the clearness of the CT
image?
  Also, our techs have been injecting through the MaxPlus cap of the
peripheral
lines and don't want to remove and replace a cap--What are they doing
about
this in your CT departments?

>From docs:  Can these catheters be flushed and locked with saline
only?
Many of them are very concerned with Heparin-induced thrombocytopenia
and may write specific orders for Groshong PICC's just to avoid the
use
of Heparin.

Thanks for any input.
Tanya R.N.
SHMC
Eugene, OR

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