Totally Implantable Venous Access Devices

Front Cover
Isidoro Di Carlo, Roberto Biffi
Springer Science & Business Media, Oct 13, 2011 - Medical - 286 pages

Since their first application in 1982, Totally Implantable Venous Access Devices (TIVADs) have become increasingly important in the clinical practice, as more intensive chemotherapy and parenteral treatments have come into use. At this time, there is objective evidence that TIVADs are a safe, effective strategy for long-term venous access; they play a significant role throughout the management of the oncology patient, as they are needed in the initial phases for active treatments as well as in the last stages for palliative measures, making possible repeated administration of chemotherapeutic vesicant agents, nutrients, antibiotics, analgesics, and blood products. According to a number of prospective studies, use of TIVADs is associated with a significant complication rate (10% to 25% of all patients). Evidence-based data support that most complications are directly related to inappropriate technique of placement and/or nursing care, sometimes leading to TIVAD loss, significant morbidity, increased duration of hospitalization, and additional medical cost.

A group of world-renowned experts - both in the clinical and research fields – contributed to this volume, whose aim is to provide clinicians, nurses and medical students with a multidisciplinary, full update on these devices, as long term central venous access can no be longer considered a routine matter, and serious complications can be maintained at a very low level only if strict adherence to a well-defined protocol of surgical technique and of catheter care is maintained.

 

What people are saying - Write a review

We haven't found any reviews in the usual places.

Contents

Part I Introduction
2
1 History of Vascular Access
3
2 Vascular Anatomy of Central and Peripheral Veins
11
3 Type of Devices for Mid and Longterm Venous Access
18
Different Types Uses Prevention of Accidents
29
Part II Totally Implantable Access Devices
34
5 Clinical Indications Preoperative Assessment Setup and Organizational Aspects
37
6 Choice of Venous Sites Surgical ImplantTechnique
43
20 Wound Dehiscence
157
21 Reversal
161
Part V Late Complications
166
22 Catheterrelated Bloodstream Infection
167
23 Thrombosis
173
24 Superior Vena Cava Erosion and Perforation
182
25 Catheter Obstruction
187
25 Catheter Rupture
191

7 Choice of Venous Sites Percutaneous ImplantTechnique US Guidance
55
8 Modified Seldinger Technique for Open Central Venous Cannulation for Totally Implantable Access Device
70
Radiologic Criteria and Clinical Relevance
79
Fluoroscopy vs Intravasal Electrogram
93
Prevention and Treatment
105
11 Pneumothorax
106
12 Hemothorax
115
13 Air Embolism
122
14 Accidental Arterial Puncture
129
15 Cardiac Arrhythmia
133
16 Heart Tamponade
137
17 Brachial Plexus Injury
141
Diagnosis and Treatment
144
18 Hemoptysis
147
19 Pocket Hematoma
153
27 Catheter Migration
201
28 Catheter Embolization
205
29 Withdrawal Obstruction
209
30 Skin Necrosis
213
31 Extravasation
221
32 Pocket Infection
227
Highlights of Hot Issues
231
How to Safely Use Ports and Central Catheters to Deliver Contrast Medium in Radiology Procedures
238
35 Removal of Totally Implantable Venous Access Device
247
36 Cost Issues
257
37 Quality of Life and Patients Satisfaction
264
38 Legal Aspects
269
39 Future Investigation
277
Subject Index
283
Copyright

Other editions - View all

Common terms and phrases

Bibliographic information