Applied Radiology
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CT Power Injection Challenges | PICC Line Malposition
CT Power Injection Challenges:
PICC Line Malposition
Applied Radiology Expert Forum Archived Program
Credits: 1.0 Category A, ARRT credit  •  1.0 CRA Credit
ARRT Category A Expiration Date: January 31, 2027
Format: Self Instructional - Audio Visual, Video with Slides
This program has been sponsored by Bayer Healthcare.

This CE accredited program provides an educational resource that addresses current and future iodinated contrast media shortages and its clinical impact.

Although power injectable peripherally inserted catheters (PICC) are deemed to be relatively safe for use with CT power injectors, there have been reports of PICC tip malposition as a result of higher flow rates and the pressure required to properly administer iodinated IV contrast during CT procedures. Any malpositioning of a PICC can pose a risk to patients, including catheter failure, thrombosis, phlebitis, arrhythmia, and pain.

In this CE accredited Expert Forum Webinar, Dr. John Schmitz, an Assistant Professor of Radiology and his colleague, Ms. Nicole Jensen, a Radiology Nurse Manager discuss an effective approach to managing PICC tip malposition following the delivery of IV contrast when using a CT power injector and a power-injectable PICC.

In addition, they will share best practices, which include obtaining a pre-injection and post-injection topogram to ensure the PICC catheter position prior to, and following the contrast injection and the value of using a rapid saline flush to reposition the catheter tip.

Following the presentations questions from the audience were addressed in a moderated Q&A session.

To participate select the appropriate profession below.