Yes, but remember, the Groshong is a silicone PICC, where
the PowerPICC is polyurethane. Anything can happen in human beings, but
the chance that this type of malposition will happen is less the closer the
chatheter tip is to the caval / atrial junction.
Paul
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From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Cathy
J
Sent: Thursday, October 12, 2006 4:27 PM
To: [EMAIL PROTECTED]
Cc: [EMAIL PROTECTED]
Subject: RE: Malposition after power injection
Sent: Thursday, October 12, 2006 4:27 PM
To: [EMAIL PROTECTED]
Cc: [EMAIL PROTECTED]
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
>
>
>
