I was wondering that once power PICCs have been out for awhile if we would
see this phenomenon occur ---secondary malposition because of all the
whipping around. How deep to you place your original PICCs?
Nadine Nakazawa
From: "DAVID LONGSETH" <[EMAIL PROTECTED]>
To: [EMAIL PROTECTED]
Subject: Malposition after power injection
Date: Wed, 11 Oct 2006 20:05:42 -0500
Saw a set of CXR's last week that were of interest. Pt had a 5Fr Power PICC
placed in the AM,then a CT in the afternoon (chest for PE,I think). Later
in the evening pt. began having discomfort and swelling in the neck. CXR
after PICC placed showed a good lower SVC placement but the evening's film
showed the line up the IJ,perhaps with the tip in smaller collateral vein.
Apparently the CT contrast injection was strong enough to flip the PICC up
there.
Was wondering if anyone else has seen this occur,but then also wonder if
this doesn't happen more frequently and we just never know....
David
