PMC9834923_01
Fluoroscopic imaging showing position of PICC (red arrow) at the distal
SVC.
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We were satisfied with location and placement of this catheter for TPN use and elected to abort further attempts due to patient's ongoing discomfort and family's preference to avoid further invasive procedures (Figure 1).
Enhanced chest x-ray of PICC (red arrow) showing slight migration back into
right brachiocephalic vein and enlarging right pleural effusion.
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The tip of the PICC had also migrated slightly back into the right subclavian vein from the junction of the right brachiocephalic vein and the SVC (Figure 2).
CT chest showing PICC position (red to blue arrows) crossing paths with dual
ICD leads inside the right subclavian vein.
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A non-contrast computerized tomography chest was done and the tip of the PICC was at the junction of the right subclavian vein and the right brachiocephalic vein (Figure 3).