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Implantable port vascular access

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https://www.readbyqxmd.com/read/28866629/strategies-to-reduce-line-infections-in-a-small-child-with-homozygous-familial-hypercholesterolaemia-who-cannot-yet-receive-ldl-apheresis
#1
Misan Lee, Janet Barr, Stewart Kribs, Guido Filler
Patients with homozygous familial hypercholesterolaemia are optimally treated with low-density lipoprotein apheresis. Young patients who do not meet a weight threshold (25 kg) receive regular plasmapheresis. This approach may remove excessive immunoglobulins and vascular access set-up can be challenging. We report the case of a 4 year-old child who exhibited repeated septic infections (5 in 6 months) and had recurrent access issues before two interventions were implemented: (1) the percutaneous central venous line was modified to two implanted paediatric ports, and (2) the patient started receiving two bags of Octaplasma at the end of each plasmapheresis treatment to account for the excessive loss of immunoglobulins...
September 1, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28543947/%C3%AE-1-adrenoceptor-but-not-%C3%AE-2-adrenoceptor-subtype-regulates-heart-rate-in-type-2-diabetic-rats-in-vivo
#2
Rosalind F Cook, Carol T Bussey, Kimberley M Mellor, Patricia A Cragg, Regis R Lamberts
What is the central question of the study? The sympathetic system regulates heart rate via β-adrenoceptors; this is impaired during diabetes. However, the specific β-adrenoceptor subtype contributions in heart rate regulation in diabetes in vivo are unknown. What is the main finding and its importance? Telemetric recordings in conscious non-diabetic and type 2 diabetic rats demonstrated that the β1 -adrenoceptor subtype, and not the β2 -adrenoceptor, regulated the lower resting heart rate and increased β-adrenoceptor responsiveness in diabetes in vivo...
May 22, 2017: Experimental Physiology
https://www.readbyqxmd.com/read/28419013/standardizing-best-nursing-practice-for-implanted-ports-applying-evidence-based-professional-guidelines-to-prevent-central-line-associated-bloodstream-infections
#3
Susanne B Conley, Paula Buckley, Lisa Magarace, Candace Hsieh, Lillian Vitale Pedulla
Nearly 3 million central vascular access devices (CVADs) are used in the United States each year. These devices are an important advance in health care and essential to oncology patients. However, CVADs are the most frequent cause of central line-associated bloodstream infections (CLABSIs). CLABSI can be prevented when evidence-based practices are followed consistently over time. Professional organizations establish valid standards and guidelines to guide CVAD practice. This article identifies strategies implemented at a comprehensive ambulatory cancer center to integrate professional evidence-based standards and guidelines for implanted port care into nursing practice at the point of care...
May 2017: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://www.readbyqxmd.com/read/28296208/arterial-access-port-a-shunt-less-vascular-access-using-a-blind-ending-artificial-graft-anastomosed-to-the-brachial-artery
#4
Hiroaki Matsuda, Yoshinari Oka, Ryuichi Yoshida, Yuki Katsura, Hidemi Takeuchi, Takanori Oyama, Shigeko Takatsu, Masashi Miyazaki
We retrospectively investigated the usability of arterial access ports (AAPs), which are blind-ending short prosthetic grafts anastomosed to the brachial artery (BA) and implanted subcutaneously, via which cannulation and blood-drawing from the BA was performed. Nineteen AAPs in 16 patients were evaluated. The AAP cumulative functional usage rate tended to drop within a year after its implantation because of infection and inappropriate positioning; however, its usability was extended for a maximum of 97 months after re-implantation...
April 2017: Therapeutic Apheresis and Dialysis
https://www.readbyqxmd.com/read/28047706/su-d-209-03-radiation-dose-reduction-using-real-time-image-processing-in-interventional-radiology
#5
K Kanal, J Moirano, D Zamora, B Stewart
PURPOSE: To characterize changes in radiation dose after introducing a new real-time image processing technology in interventional radiology systems. METHODS: Interventional radiology (IR) procedures are increasingly complex, at times requiring substantial time and radiation dose. The risk of inducing tissue reactions as well as long-term stochastic effects such as radiation-induced cancer is not trivial. To reduce this risk, IR systems are increasingly equipped with dose reduction technologies...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/27888350/totally-implantable-vascular-access-device-tivad-placement-a-modified-technique-that-takes-post-procedure-aesthetic-aspects-into-account
#6
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...
April 2017: 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
#7
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
#8
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
#9
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...
December 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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
MULTICENTER STUDY
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
#20
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
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