A Technique for Placement of a Totally Implantable Central Venous Port

1993 ◽  
Vol 32 (5) ◽  
pp. 313-314 ◽  
Author(s):  
Brian F. Gilchrist ◽  
Zina Novak
Keyword(s):  
Pediatric Patient ◽  
Technical Problem ◽  
Technical Difficulty ◽  
Central Venous Catheters ◽  
Central Venous ◽  
Operative Field ◽  
Central Venous Port ◽  
The Past ◽  
Venous Port

The use of totally implantable central venous catheters with reservoirs has grown steadily over the past few years. These systems mitigate many of the inherent problems associated with catheter systems that protrude from the skin. Totally implantable systems are easily cared for and permit activities such as swimming. These features have led many surgeons and patients to favor their use. However, some surgeons have resisted their use because of the added technical difficulty in placing the reservoir. The technical problem in seating a subcutaneous reservoir can be solved by utilizing the technique described below. It is especially useful in the pediatric patient, where the operative field is confined.

scholarly journals Upper Arm Central Venous Port Implantation: A 6-Year Single Institutional Retrospective Analysis and Pictorial Essay of Procedures for Insertion

PLoS ONE ◽  
2014 ◽  
Vol 9 (3) ◽  
pp. e91335 ◽  
Author(s):  
Masatoshi Shiono ◽  
Shin Takahashi ◽  
Yuichi Kakudo ◽  
Masanobu Takahashi ◽  
Hideki Shimodaira ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Central Venous ◽  
Upper Arm ◽  
Central Venous Port ◽  
Venous Port ◽  
Port Implantation ◽  
Pictorial Essay

scholarly journals Use of catheter with 2-methacryloyloxyethyl phosphorylcholine polymer coating is associated with long-term availability of central venous port

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yuuki Iida ◽  
Kumiko Hongo ◽  
Takanobu Onoda ◽  
Yusuke Kita ◽  
Yukio Ishihara ◽  
...  
Keyword(s):  
Odds Ratio ◽  
Polymer Coating ◽  
Venous Access ◽  
Preventive Effect ◽  
Central Venous ◽  
Factors Associated ◽  
Central Venous Port ◽  
Venous Port ◽  
Venous Access Device

AbstractCentral venous port (CVP) is a widely used totally implantable venous access device. Recognition of risks associated with CVP-related complications is clinically important for safe, reliable, and long-term intravenous access. We therefore investigated factors associated with CVP infection and evulsion, including the device type. A total of 308 consecutive patients with initial CVP implantation between January 2011 and December 2017 were retrospectively reviewed, and the association of clinical features with CVP-related complications were analyzed. Intraoperative and postoperative complications occurred in 11 (3.6%) and 39 (12.7%) patients, respectively. The overall rate of CVP availability at six months was 91.4%. Malignancy and 2-Methacryloyloxyethyl phosphorylcholine (MPC) polymer-coated catheter use were negatively associated with the incidence of CVP infections. Accordingly, malignancy and MPC polymer-coated catheter use were independent predictors for lower CVP evulsion rate (odds ratio, 0.23 and 0.18, respectively). Furthermore, both factors were significantly associated with longer CVP availability (hazard ratio, 0.24 and 0.27, respectively). This retrospective study identified factors associated with CVP-related complications and long-term CVP availability. Notably, MPC polymer-coated catheter use was significantly associated with a lower rate of CVP infection and longer CVP availability, suggesting the preventive effect of MPC coating on CVP infection.

scholarly journals How I treat pediatric venous thromboembolism

Blood ◽  
2017 ◽  
Vol 130 (12) ◽  
pp. 1402-1408 ◽  
Author(s):  
Guy Young
Keyword(s):  
Clinical Trials ◽  
Venous Thromboembolism ◽  
Large Scale ◽  
Central Venous Catheters ◽  
Rare Disorder ◽  
Central Venous ◽  
Management Decisions ◽  
Logical Approach ◽  
The Past ◽  
Medical Disorders

Abstract The incidence of pediatric venous thromboembolism (VTE) has been increasing significantly over the past decade in part as a result of increased recognition of this serious disorder but more so because of the increased use of central venous catheters and other technological advancements involved in the care of ill children. Management of pediatric VTE is a complex undertaking, considering that the vast majority of children who develop this complication have serious underlying medical disorders. Although the incidence is rising, in comparison with adults, this remains a relatively rare disorder, and as such, large-scale clinical trials have not been completed, rendering management decisions to be based on extrapolation from adult data and the experience of the treating physician. Clearly, both are fraught with problems. Thus, day-to-day management remains more art than science until such time that the results from clinical trials (many of which are under way) become available. This edition of “How I Treat” describes the author’s experience in managing 3 common scenarios that one may encounter in pediatric thrombosis and suggests a logical approach to such situations. Furthermore, the author provides 3 algorithms to help guide management decisions.

Room-temperature thermodilution cardiac output: proximal injectate lumen vs proximal infusion lumen

1993 ◽  
Vol 2 (2) ◽  
pp. 132-133
Author(s):  
GR Pesola ◽  
B Ayala ◽  
L Plante
Keyword(s):  
Cardiac Output ◽  
Room Temperature ◽  
Central Venous ◽  
Right Heart ◽  
Thermodilution Cardiac Output ◽  
Central Venous Port ◽  
Venous Port ◽  
Port Design ◽  
Venous Infusion ◽  
Cardiac Output Measurements

OBJECTIVE: To assess the accuracy of room-temperature thermodilution cardiac output measurements from the venous infusion port. DESIGN: Central venous port cardiac output measurements were compared with venous infusion port measurements in 48 right-heart catheters. INTERVENTION: Three 10-mL injections of 5% dextrose in water were made through each port. The order of port injection was random. RESULTS: The cardiac outputs were 5.8 +/- 1.8 L/min from both ports, with no difference between ports (paired t test). CONCLUSION: Room-temperature thermodilution cardiac output determinations from the venous infusion port can be used in place of central venous port cardiac outputs if the central venous port becomes nonfunctional.

scholarly journals Superior vena cava syndrome associated with longstanding implantable central venous port

2015 ◽  
Vol 2015 (jan27 2) ◽  
pp. bcr2014206643-bcr2014206643 ◽  
Author(s):  
P. K. Santos ◽  
A. M. Fernandes ◽  
V. Figueiredo ◽  
S. Janeiro
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena Cava Syndrome ◽  
Superior Vena ◽  
Vena Cava ◽  
Central Venous ◽  
Central Venous Port ◽  
Venous Port ◽  
Vena Cava Syndrome

Percutaneous retrieval of dislodged central venous port catheter: experience of 25 patients in a single institute

2009 ◽  
Vol 50 (1) ◽  
pp. 15-20 ◽  
Author(s):  
Po-Chin Wang ◽  
Huei-Lung Liang ◽  
Tuno-Ho Wu ◽  
Jer-Shyung Huang ◽  
Yih-Huie Lin ◽  
...  
Keyword(s):  
Port Catheter ◽  
Central Venous ◽  
Percutaneous Retrieval ◽  
Central Venous Port ◽  
Venous Port
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