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Implantable port vascular access

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https://www.readbyqxmd.com/read/27888350/totally-implantable-vascular-access-device-tivad-placement-a-modified-technique-that-takes-post-procedure-aesthetic-aspects-into-account
#1
Gabriel Liberale
Major progress has been made in breast cancer reconstruction surgery. The standard technique for totally implanted vascular access device (TIVAD) implantation generally requires an incision for port insertion on the anterior part of the thorax that leaves a scar in the middle of the neckline in patients who have undergone mastectomy with complex breast reconstruction. The aim of this technical note is to report our revised surgical technique for TIVAD placement. In patients with breast cancer, we take a lateralized approach, performing an oblique incision on the lowest part of the deltopectoral groove...
November 25, 2016: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/27855144/notes-from-the-field-fungal-bloodstream-infections-associated-with-a-compounded-intravenous-medication-at-an-outpatient-oncology-clinic-new-york-city-2016
#2
Amber M Vasquez, Jason Lake, Stephanie Ngai, Megan Halbrook, Snigdha Vallabhaneni, M Shannon Keckler, Heather Moulton-Meissner, Shawn R Lockhart, Christopher T Lee, Kiran Perkins, Joseph F Perz, Mike Antwi, Miranda S Moore, Jane Greenko, Eleanor Adams, Janet Haas, Sandra Elkind, Marjorie Berman, Dani Zavasky, Tom Chiller, Joel Ackelsberg
On May 24, 2016, the New York City Department of Health and Mental Hygiene notified CDC of two cases of Exophiala dermatitidis bloodstream infections among patients with malignancies who had received care from a single physician at an outpatient oncology facility (clinic A). Review of January 1-May 31, 2016 microbiology records identified E. dermatitidis bloodstream infections in two additional patients who also had received care at clinic A. All four patients had implanted vascular access ports and had received intravenous (IV) medications, including a compounded IV flush solution containing saline, heparin, vancomycin, and ceftazidime, compounded and administered at clinic A...
November 18, 2016: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/27544827/venous-cutdown-versus-the-seldinger-technique-for-placement-of-totally-implantable-venous-access-ports
#3
REVIEW
Charlie C-T Hsu, Gigi N C Kwan, Hannah Evans-Barns, John A Rophael, Mieke L van Driel
BACKGROUND: Totally implantable venous access ports (TIVAPs) provide patients with a safe and permanent venous access, for instance in the administration of chemotherapy for oncology patients. There are several methods for TIVAP placement, and the optimal evidence-based method is unclear. OBJECTIVES: To compare the efficacy and safety of three commonly used techniques for implanting TIVAPs: the venous cutdown technique, the Seldinger technique, and the modified Seldinger technique...
August 21, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27495928/evaluation-of-the-perceptions-and-cosmetic-satisfaction-of-breast-cancer-patients-undergoing-totally-implantable-vascular-access-device-tivad-placement
#4
Gabriel Liberale, Michel El Houkayem, Claire Viste, Fikri Bouazza, Michel Moreau, Issam El Nakadi, Isabelle Veys
PURPOSE: Totally implantable vascular access devices (TIVADs) are widely used to administer chemotherapy to cancer patients. While great progress has been made with respect to breast surgical reconstruction to take into account both aesthetics and patients' perceptions of body integrity, these aspects have not been considered with regard to the impact of TIVAD. In order to address this practice gap, we have adapted our TIVAD implantation technique to improve cosmetic results. The aim of this study was to assess breast cancer patients' comfort level and aesthetic satisfaction with regard to TIVAD insertion...
August 5, 2016: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/27282705/trapezius-placement-of-implanted-ports-understanding-the-procedure
#5
Steve Hill
Totally implantable vascular access devices (TIVADs) are indicated for intermittent long-term intravenous access. It is widely accepted within medical literature that TIVADs are associated with statistically significant lower infection rates than other central venous access devices. Typical sites for implantation are on the anterior chest wall, using the internal jugular, axillary, cephalic or a subclavian vein. This article follows on from a previous discussion of the benefits of this approach, which illustrated and examined clinical outcomes of trapezius-placement versus anterior chest wall placed ports, for patients with metastatic subcutaneous disease on the anterior chest wall...
January 27, 2016: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/27222696/implantable-port-devices-complications-and-outcome-in-pediatric-cancer-a-retrospective-study
#6
H Esfahani, M Ghorbanpor, A Tanasan
BACKGROUND: Peripheral blood vessels, due to availability are used for many years in cancer patients, however in patients with potentially harmful drugs to skin (vesicant drugs) or difficult accessibility to vessels, the use of implantable port (totally implantable venous access port-TIVAP) devices with central vascular access are important. MATERIALS AND METHODS: In this retrospective study, 85 pediatric cancer patients younger than 16 years, with TIVAP implantation, were followed for their complications and outcome...
2016: Iranian Journal of Pediatric Hematology and Oncology
https://www.readbyqxmd.com/read/27145546/trapezius-placement-of-implanted-ports-understanding-the-procedure
#7
COMPARATIVE STUDY
Steve Hill
Totally implantable vascular access devices (TIVADs) are indicated for intermittent long-term intravenous access. It is widely accepted within medical literature that TIVADs are associated with statistically significant lower infection rates than other central venous access devices. Typical sites for implantation are on the anterior chest wall, using the internal jugular, axillary, cephalic or a subclavian vein. This article follows on from a previous discussion of the benefits of this approach, which illustrated and examined clinical outcomes of trapezius-placement versus anterior chest wall placed ports, for patients with metastatic subcutaneous disease on the anterior chest wall...
January 28, 2016: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/26510720/long-term-venous-access-insertion-the-learning-curve
#8
Beverley Fosh, Maximiliano Canepa, Michael Eaton
BACKGROUND: The central venous access port device (CVAPD) provides reliable vascular access and is used for delivery of fluids and for obtaining blood samples. However, it can carry some intra- and post-operative complications such as thrombosis, pneumothorax, catheter fracture and port malposition. This article describes one surgeon's experience over a 16-year period and strategies to avoid complications. METHODS: The data were prospectively collected from 1996 to 2012 (16-year period)...
December 2016: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/26377306/a-phase-ii-study-on-the-efficacy-and-safety-of-procedural-analgesia-with-fentanyl-buccal-tablet-in-cancer-patients-for-the-placement-of-indwelling-central-venous-access-systems
#9
R Bortolussi, P Zotti, M Matovic, A Morabito, C Bertuzzi, M Caserta, F Fabiani, A Fracasso, C Santantonio, C Zanier, A Roscetti, J Polesel, D Gussetti, S Bedin, A M Colussi, D Fantin
BACKGROUND: Pain in cancer patients is often related to oncologic therapies and diagnostic procedures. The placement of fully implantable venous access systems is a very common procedure in oncology patients. Local anaesthesia is the method most commonly used to overcome pain related to this surgical procedure, but the local anaesthetic may be unable to completely eradicate all pain. This study investigates the effectiveness and safety of fentanyl buccal tablet (FBT), administered by OraVescent® technology, in reducing procedural pain related to the placement of indwelling central venous access systems (Ports) in opioid-naïve cancer patients...
April 2016: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/26287429/the-treatment-results-of-a-standard-algorithm-for-choosing-the-best-entry-vessel-for-intravenous-port-implantation
#10
Wen-Cheng Wei, Ching-Yang Wu, Ching-Feng Wu, Jui-Ying Fu, Ta-Wei Su, Sheng-Yueh Yu, Tsung-Chi Kao, Po-Jen Ko
Vascular cutdown and echo guide puncture methods have its own limitations under certain conditions. There was no available algorithm for choosing entry vessel. A standard algorithm was introduced to help choose the entry vessel location according to our clinical experience and review of the literature. The goal of this study is to analyze the treatment results of the standard algorithm used to choose the entry vessel for intravenous port implantation.During the period between March 2012 and March 2013, 507 patients who received intravenous port implantation due to advanced chemotherapy were included into this study...
August 2015: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26109543/retained-embolized-fragment-of-totally-implantable-central-venous-catheter-in-right-ventricle-it-is-really-necessary-to-remove
#11
Giovanni Tazzioli, Eleonora Gargaglia, Ilaria Vecchioni, Simona Papi, Petronilla Di Blasio, Rosario Rossi
INTRODUCTION: Central venous catheters are often required in oncologic patients for long-term safe administration of chemotherapeutic agents, antibiotics, and parenteral nutrition. Rupture of these devices and intracardiac migration is a rare complication. METHODS: We report one spontaneous rupture and embolization of a totally implantable vascular access device (TIVAD) in an asymptomatic patient. RESULTS: A 50-year-old woman received a TIVAD silicone catheter 8 FR for adjuvant chemotherapy...
September 2015: Journal of Vascular Access
https://www.readbyqxmd.com/read/26098622/minimally-invasive-monitoring-of-chronic-central-venous-catheter-patency-in-mice-using-digital-subtraction-angiography-dsa
#12
Giovanna Figueiredo, Teresa Fiebig, Stefanie Kirschner, Omid Nikoubashman, Lisa Kabelitz, Ahmed Othman, Andrea Nonn, Martin Kramer, Marc A Brockmann
BACKGROUND: Repetitive administration of medication or contrast agents is frequently performed in mice. The introduction of vascular access mini-ports (VAMP) for mice allows long-term vascular catheterization, hereby eliminating the need for repeated vessel puncture. With catheter occlusion being the most commonly reported complication of chronic jugular vein catheterization, we tested whether digital subtraction angiography (DSA) can be utilized to evaluate VAMP patency in mice. METHODS: Twenty-three mice underwent catheterization of the jugular vein and subcutaneous implantation of a VAMP...
2015: PloS One
https://www.readbyqxmd.com/read/25778336/retrospective-evaluation-of-totally-implantable-venous-access-port-devices-early-and-late-complications
#13
Selami Gurkan, Selcuk Seber, Ozcan Gur, Tarkan Yetisyigit, Mehmet Okan Donbaloglu, Demet Ozkaramanli Gur
PURPOSE: The role totally implantable vascular devices (TIVAD) have an important role in providing care to cancer patients who require continuous or frequent venous access route either for their primary or supportive care treatments. This retrospective study aimed to analyze the efficacy of TIVAD and device-related complications. METHODS: A total of 324 consecutive patients (185 male,139 female, median age 56 years, mean 48 ± 10.91; min:16, max:87) who were implanted with TIVAD between January 2012 - May 2014 were included...
January 2015: Journal of B.U.ON.: Official Journal of the Balkan Union of Oncology
https://www.readbyqxmd.com/read/25660318/prospective-study-of-catheter-related-central-vein-thrombosis-in-home-parenteral-nutrition-patients-with-benign-disease-using-serial-venous-doppler-ultrasound
#14
Cristina Cuerda, Francisca Joly, Olivier Corcos, Javier Concejo, Carolina Puiggrós, Carmen Gil, Loris Pironi
BACKGROUND & AIMS: Catheter-related central vein thrombosis (CRVT) is a severe complication of home parenteral nutrition (HPN) that may be clinically manifest or subclinical. The aims of the study were to prospectively investigate the incidence of CRVT in patients on HPN with benign disease and determine the influence of different variables on this complication. METHODS: A prospective, multicentre, observational study in the Home Artificial Nutrition-Chronic Intestinal Failure ESPEN group was performed...
February 2016: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
https://www.readbyqxmd.com/read/25258561/impact-of-the-shape-of-the-implantable-ports-on-their-efficiency-of-flow-injection-and-flushing
#15
Gérard Guiffant, Patrice Flaud, Jean Jacques Durussel, Jacques Merckx
Now widely used, totally implantable venous access devices allow mid- and long-term, frequent, repeated, or continuous injection of therapeutic products by vascular, cavitary, or perineural access. The effective flushing of these devices is a key factor that ensures their long-lasting use. We present experimental results and a numerical simulation to demonstrate that the implementation of rounded edge wall cavities improves flushing efficiency. We use the same approaches to suggest that the deposit amount may be reduced by the use of rounded edge wall cavities...
2014: Medical Devices: Evidence and Research
https://www.readbyqxmd.com/read/25245435/1000-port-a-cath-%C3%A2-placements-by-subclavian-vein-approach-single-surgeon-experience
#16
S Mudan, A Giakoustidis, D Morrison, S Iosifidou, R Raobaikady, K Neofytou, J Stebbing
INTRODUCTION: Totally implantable venous access ports are widely used for the administration of chemotherapy in patients with cancer. Although there are several approaches to implantation, here we describe Port-A-Cath(®) (PAC) placement by percutaneous puncture of the subclavian vein with ultrasonographic guidance. PATIENTS AND METHODS: Data on our vascular access service were collected prospectively from June 2004. This service included port-a-caths and Hickman lines...
February 2015: World Journal of Surgery
https://www.readbyqxmd.com/read/25227193/tissue-reaction-induced-by-implanted-venous-access-ports-in-adult-patients-after-infection-of-the-implantation-site
#17
B Hiebl, C Hopperdietzel, H Hünigen, K Dietze, F Jung, S M Niehues
Implantable long-term central venous port systems (CVPS) are widely used as a permanent means of accessing the vascular system for intravenous delivery of drugs, parenteral nutrition, blood transfusion, and blood sampling. These systems allow easy and repetitive puncture without causing much damage to the vessels. However, the body foreign surface of CVPS induces an inflammatory response with varying intensity (depending on the implant materials) that leads to formation of a fibrous tissue capsule around the implant...
2014: Clinical Hemorheology and Microcirculation
https://www.readbyqxmd.com/read/25177117/an-entirely-echo-guided-technique-for-totally-implantable-access-port-positioning
#18
Gian Domenico Arzu, Federico Coccolini, Michele Rossi, Fabio Longaretti, Andrea Costanzi, Stefano Senatore, Angelo Miranda, Dario Maggioni
Percutaneous central vascular venous access to allow positioning of a totally implantable access port (TIAP) is a widely employed procedure. An open issue is the need to find an ionizing radiation free technique which allows a safe and correct positioning of the device. Echo-guided vein puncture is currently accepted as the best method for decreasing major immediate complications. We describe an entirely echo-based method for the insertion and assessment of correct placement of the totally implantable access ports (TIAP)...
June 2014: Indian Journal of Surgery
https://www.readbyqxmd.com/read/25053910/incidence-and-risk-factors-of-infectious-complications-related-to-implantable-venous-access-ports
#19
Jisue Shim, Tae-Seok Seo, Myung Gyu Song, In-Ho Cha, Jun Suk Kim, Chul Won Choi, Jae Hong Seo, Sang Cheul Oh
OBJECTIVE: The purpose of this study was to determine the incidence and risk factors of infections associated with implantable venous access ports (IVAPs). MATERIALS AND METHODS: From August 2003 through November 2011, 1747 IVAPs were placed in our interventional radiology suite. One hundred forty four IVAPs were inserted in patients with hematologic malignancy and 1603 IVAPs in patients with solid tumors. Among them, 40 ports (23 women and 17 men; mean age, 57...
July 2014: Korean Journal of Radiology: Official Journal of the Korean Radiological Society
https://www.readbyqxmd.com/read/24851765/burden-of-complications-from-needle-penetration-of-plastic-ports-in-children
#20
Nicole E Sharp, E Marty Knott, Priscilla Thomas, Douglas C Rivard, Shawn D St Peter
BACKGROUND: Complications of totally implanted venous access ports are well documented. A concerning mechanical complication we have encountered is posterior penetration of plastic ports with the access needle. The purpose of this study is to investigate the burden of posterior penetrations. METHODS: We performed a retrospective review of all ports placed between November 2007 and December 2011 at a single institution. RESULTS: There were 247 children who received a port...
May 2014: Journal of Pediatric Surgery
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