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Related Experiment Videos

Totally implanted venous access device removal in interventional radiology.

R Murthy1, B A Wesley, D M Coldwell

  • 1Department of Diagnostic Radiology, University of Maryland Medical System, Division of Vascular and Interventional Radiology, Baltimore 21201, USA.

Clinical Radiology
|October 18, 2002
PubMed
Summary

Totally implanted venous access device (TIVAD) removal is safe and effective in an outpatient interventional radiology recovery room. This study shows TIVAD removal can be safely performed in this setting with no major complications.

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Area of Science:

  • Interventional Radiology
  • Vascular Access Device Management
  • Outpatient Procedures

Background:

  • Totally implanted venous access devices (TIVADs) are crucial for long-term therapies but require removal.
  • Standard TIVAD removal procedures are typically performed in inpatient settings.
  • Evaluating alternative, efficient settings for TIVAD removal is important for patient care and resource management.

Purpose of the Study:

  • To assess the safety and efficacy of removing totally implanted venous access devices (TIVADs) in an outpatient interventional radiology (IR) recovery room.
  • To determine if the IR recovery room is a suitable environment for TIVAD removal procedures.
  • To establish TIVAD removal as a safe and feasible outpatient IR procedure.

Main Methods:

  • A standard cut-down technique was employed for TIVAD removal in 56 patients (57 devices).

Related Experiment Videos

  • Wound closure involved primary intention (41 devices) or secondary intention (16 devices) for suspected pocket infections.
  • Patients were monitored post-procedure for bleeding and infection; catheter tips were cultured.

    • Main Results:

    • All 57 TIVADs were removed intact without complications such as air embolism, hemorrhage, or fragmentation.
    • No bleeding or infectious complications occurred in devices closed by primary intention.
    • Successful wound closure was achieved in all patients, regardless of healing intention.

    Conclusions:

    • TIVAD removal in an outpatient IR recovery room is a safe and feasible procedure.
    • The interventional radiology team can effectively manage TIVAD removal in this setting.
    • Outpatient IR recovery rooms offer a viable alternative venue for TIVAD removal.