PICC line<\/a> cut to appropriate length. The tailored catheter was advanced through the peel-away and positioned centrally using fluoroscopy.\u00a0<\/span><\/p>\nThe peel-away was removed, and hemostasis achieved with manual compression. The catheter was aspirated, flushed, and heparinized per protocol. It was secured in place with 3-0 Ethilon.\u00a0 An antimicrobial disc and sterile dressing were applied.<\/span><\/p>\nThe procedure was well tolerated, and the patient discharged from the angiography suite in good condition.<\/span><\/p>\n <\/p>\n
Findings:<\/span><\/p>\n\n- Vein patency and needle entry were documented by ultrasound and an image was stored to PACS.<\/span><\/li>\n
- The catheter tip is near the cavoatrial junction.<\/span><\/li>\n<\/ol>\n
<\/p>\n
Impression:<\/span><\/p>\nUneventful image guided placement of 5 French dual lumen PICC in the \u00a0 \u00a0 upper extremity as described.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"PROCEDURE: Dual lumen PICC with ultrasound and fluoro\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 INDICATION:\u00a0\u00a0\u00a0\u00a0 DATE:\u00a0\u00a0\u00a0\u00a0 ACCESS SITE: \u00a0 \u00a0 vein with ultrasound OPERATOR(S): , MD (Attending)\/ \u00a0 , MD (Fellow) […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"jetpack_post_was_ever_published":false,"_ti_tpc_template_sync":false,"_ti_tpc_template_id":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false}}},"categories":[32],"tags":[],"jetpack_publicize_connections":[],"yoast_head":"\n
Dual lumen PICC placement technique and dictation - LA Vascular<\/title>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\t\n\t\n\t\n