Abstract
Infection, thrombosis, catheter malposition, rupture and embolization associated less frequently with skin erosion make up the main reasons for TIVAD removal. This chapter describes the cause, treatment and prevention of these complications. The surgical technique for removing TIVADs is thoroughly described. Lastly, attention is placed upon air embolism, a potentially devastating complication associated with TIVAD removal.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Sticca RP, Dewing BD, Harris, JD (2009). Outcomes of surgical and radiologic placed implantable central venous access ports. Am J Surg 198:829–833
Biffi R, de Braud F, Orsi F et al (1998) Totally implantable central venous access ports for long-term chemotherapy: a prospective study analyzing complications and costs of 333 devices with a minimum follow-up of 180 days. Ann Oncol 9:767–773
Kock HJ, Pietsch M, Krause U et al (1998) Implantable vascular access systems: experience in 1500 patients with totally implanted central venous port systems. World J Surg 22:12–16
Schwarz R, Groeger J, Coit D (1997) Subcutaneously implanted central venous access devices in cancer patients: a prospective analysis. Cancer 79:1635–1640
Vardy J, Engelhardt K, Cox K et al (2004) Long-term outcome of radiological-guided insertion of implanted central venous access port devices (CVAPD) for the delivery of chemotherapy in cancer patients. Br J Cancer 91:1045–1049
Ignatov A, Hoffman O, Smith B et al (2008) An 11-year retrospective study of totally implanted central venous access ports: Complications and patient satisfaction. Eur J Surg Oncol 35:241–246
Groeger JS, Lucas AB, Thaler HAT et al (1993) Infectious morbidity associated with longterm use of venous access devices in patients with cancer. Ann Intern Med 119:1168–1174
Muscedere G, Bennett JD, Lee TY et al (1998) Complications of radiologically placed central venous ports and Hickman catheters in patients with AIDS. Can Assoc Radiol J 49:84–89
Lorch H, Zwaan M, Kagel C, Weiss H (2001) Central venous access ports placed by interventional radiologists: experience with 125 consecutive patients. Cardiovasc Intervent Radiol 24:180–184
Puel V, Caudry M, Le Metayer P et al (1993) Superior vena cava thrombosis related to catheter malposition in cancer chemotherapy given through implanted ports. Cancer 72:2248–2252
de Gregorio MA, Miguelena JM, Fernandez JA et al (1996) Subcutaneous ports in the radiology suite: an effective and safe procedure for care in cancer patients. Eur Radiol 6:748–752
Ordway CB (1974) Air embolus via CVP catheter without positive pressure: presentation of case and review. Ann Surg 179:479
Armon C, Deschamps C, Adkinson C et al (1991) Hyperbaric treatment of cerebral air embolism sustained during an open-heart surgical procedure. Mayo Clin Proc 66:565
Groell R, Schaffler GJ, Rienmueller R, Kern R (1997) Vascular air embolism: location, frequency, and cause on electron-beam CT studies of the chest. Radiology 202:459
Valentino R, Hilbert G, Vargas F, Gruson D (2003) Computed tomographic scan of massive cerebral air embolism. Lancet 361:1848
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer-Verlag Italia
About this chapter
Cite this chapter
LaBella, G.D., Tang, J. (2012). Removal of Totally Implantable Venous Access Device. In: Di Carlo, I., Biffi, R. (eds) Totally Implantable Venous Access Devices. Springer, Milano. https://doi.org/10.1007/978-88-470-2373-4_35
Download citation
DOI: https://doi.org/10.1007/978-88-470-2373-4_35
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-2372-7
Online ISBN: 978-88-470-2373-4
eBook Packages: MedicineMedicine (R0)