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Jean Malwitz
PICCs and non-functioning fistulas/grafts
Is anyone other than interventional radiologist placing PICCs in the arm with a non-functioning fistula/graft?
Jan Wesselink
I've done once or twice,
I've done once or twice, seen it done more often than that.  It ususally involved no other option for line placement and/or nonfunctional IVF's on both arms.   We always got permission from the pt's nephrologist first, though.  Tricky stuff.  Ultrasound a must to see if the vein is intact from intended insertion site past the IVF.
Have done it on 4 occasions
Have done it on 4 occasions after getting permission from nephrologist and attending.  No problems
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