Tuesday, 11 March 2014


A QUESTION FROM ONE OF OUR READERS (PLEASE ADD A COMMENT BELOW TO REPLY)

Hello

We have a patient with a single lumen 4Fr PICC inserted via right basilic vein and has been in situ about 4 weeks. Unfortuneately the PICC insertion details were not transferred with the patient from another facility so the date of insertion as well as the type of PICC and insertion details are not yet available.

 The PICC can be removed but it is stuck. After three different attempts to remove it failed (using heat to the PICC arm 20 minutes QID, having patient do active ROM, different patient positions, chest xray confirms no kinks or abnormality) an ultrasound was done and revealed a thrombus from insertion site to the junction of the right axillary vein and subclavian vein. Patient does not have any swelling distal to the PICC site.

A surgeon was consulted, the advice was to, basically, keep trying. Patient’s medical history includes Aplastic anemia with thrombocytopenia, which is curious as to how he got the clot in the first place.

 What else can we do?

Many thanks!

Renee Logan, RN, CVAA(c), CRNI
Parenteral Nurse
University Hospital of Northern BC

 

Posted by TopicsInVascularAccess at 10:09 AM in Questions from Readers
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