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picc exchange in a pt with history of heart transplant

Is there any absolute  contraindication to do a picc exchange on who had a heart transplant 16 years ago?

It is my understanding that  there is contraindication in pt with an artifical heart or Lvad, as the device can create suction.

Pt is on a milronone drip so the plan is to start a PIV to run med during the exchange.




Is there a valid reason to do

Is there a valid reason to do an exchange instead of inserting a new PICC? Exchange has risk of infection in all patients. See INS SOP on Catheter Damage in Complications section for the standard on exchanges. Don't know of an absolute contraindication from a 16 year old heart transplant, but exchange brings risks. 

Lynn Hadaway, M.Ed., NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257


Office Phone 770-358-7861

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