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Updated: Sep 25, 2026

Computed Tomography (CT) Guided Implantation of a Totally Implantable Venous Access Port (TIVAP) through Subclavian Vein
Published on: January 13, 2026
A loop technique for the safe, secure, and convenient fixation of subclavian central venous catheters to the chest
Patrick R Reardon1, Gerald P McKinney, E Stirling Craig
1The Methodist Hospital, and Departments of Surgery, Cardiovascular, and Thoracic Surgery, University of Texas at Houston Medical School, 6550 Fannin, Suite 2435, Houston, TX 77030, USA. reardonp@texmist.com
Abstract:
Central venous catheters are placed frequently at our institution. Residents are taught the technique of subclavian line placement starting in their first year of training. Frequently the teaching stops once the line is in the vein. We have developed a method of fixation for subclavian central venous catheters that provides a safe, secure, and convenient means of fixation to the chest wall. The central venous catheter can be inserted by that technique with which the physician is the most comfortable and familiar.
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