We have an older gentleman who has had a 5 fr dual lumen PICC (right basilic vein) for just over a month (he is almost 2 months post open heart surgery with post-op infection)--antibiotics, other meds. For about the past week and a half, his right arm has been more edematous than his left and we asked for US to assess. US was finally done yesterday and shows complete occlusion of right basilic and axillary veins, with partial occlusion of subclavian vein. We have been unable to remove the PICC--it will not budge. Tried heat with no change;Â this man is already on low dose heparin (INR at 1.2 fairly consistently over the post-op period). The physician has asked that the PICC be removed in Angio--I suspect that will not happen soon.
Any suggestions as to other things IÂ Â might try to get this PICC out at the patient's bedside?Â
As always, I appreciate all the contributions.