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Updated: Mar 1, 2026

Computed Tomography (CT) Guided Implantation of a Totally Implantable Venous Access Port (TIVAP) through Subclavian Vein
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Computed Tomography (CT) Guided Implantation of a Totally Implantable Venous Access Port (TIVAP) through Subclavian Vein

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241

Totally implantable venous access devices in children with medical complexity: preliminary data from a tertiary care

Caterina Geremia1, Maria Antonietta De Ioris1, Alessandro Crocoli2

  • 1Pediatrics, University Department of Pediatrics, Ospedale Pediatrico Bambino Gesù, IRCCS, Rome - Italy.

The Journal of Vascular Access
|June 3, 2017
PubMed

Insights

Totally implantable venous access devices (VADs) offer safe and manageable central vascular access for children with medical complexity (CMC). While infections can occur, VADs reduce emergency admissions and improve care for these vulnerable children.

Area of Science:

  • Pediatric Surgery
  • Vascular Access
  • Medical Devices

Background:

  • Children with medical complexity (CMC) often require continuous central vascular access.
  • Central venous access devices (VADs) can alleviate pain, reduce stress, and improve home management and palliative care for CMC.

Purpose of the Study:

  • To evaluate the safety and efficacy of totally implantable venous access devices (VADs) in children with medical complexity (CMC).

Main Methods:

  • A surgical registry identified CMC patients who received totally implantable VADs.
  • Medical records were reviewed for outcomes and complications.

Main Results:

  • Ten CMC patients received VADs, with a median indwelling time of 31 months.
  • Infectious complications occurred in two patients (Candida albicans, Staphylococcus aureus), leading to VAD removal.
  • Two VADs were removed due to reservoir dislodgment; no other major complications were noted.
  • Emergency admissions decreased by 50% post-VAD placement.

Conclusions:

  • Totally implantable VADs are safe and manageable for CMC patients.
  • Infection is the primary complication, but no infection-related deaths occurred.
  • Comorbidities like malnutrition and musculoskeletal deformities require consideration to minimize VAD dislodgment.
Abstract

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