I can beat that. I have seen a heavy patient flip an implanted port catheter that was in the atrium up to the subclavian repeatedly, just by doing Valsalva. (Corrected by femoral loop, one Valsalva sent it right back to the subclavian.) Of course, these are not the power injectable catheters, which are alledgedly so stiff that they cannot do this. The thing is, patients can make all sorts of things happen that they aren't supposed to be able to do.
Leigh Ann
-----Original Message-----
From: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Cc: [EMAIL PROTECTED]
Sent: Thu, 12 Oct 2006 6:27 PM
Subject: RE: Malposition after power injection
I have seen a pt cough a 5FR groshong up into their IJ.
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
>
>
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