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Related Experiment Videos

Totally implantable venous access systems in paediatric practice.

A Essex-Cater1, J Gilbert, T Robinson

  • 1Regional Paediatric Oncology Unit, Seacroft Hospital, Leeds.

Archives of Disease in Childhood
|January 1, 1989
PubMed
Summary

Totally implantable venous access systems were used in 45 patients for malignant diseases, blood disorders, and cystic fibrosis. This report details our three-year experience and challenges with these devices.

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Area of Science:

  • Medical Devices
  • Surgical Procedures
  • Patient Management

Background:

  • Totally implantable venous access systems (TIVAS) are crucial for long-term therapies.
  • Their use is indicated in malignant diseases, hematological disorders, and cystic fibrosis.
  • Evaluating TIVAS performance and complications is essential for clinical practice.

Purpose of the Study:

  • To report the clinical experience with TIVAS in a diverse patient cohort.
  • To identify and discuss complications associated with TIVAS insertion and management.
  • To provide insights for optimizing the use of TIVAS in clinical settings.

Main Methods:

  • Retrospective analysis of 47 TIVAS insertions in 45 patients over three years.
  • Inclusion criteria: malignant disease, hematological disorders, cystic fibrosis.

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  • Data collection focused on device performance and encountered problems.

    • Main Results:

    • TIVAS were successfully inserted in 45 patients.
    • The primary indications included malignant disease (29), cystic fibrosis (11), and hematological disorders (5).
    • The study details the specific challenges and complications observed during the three-year period.

    Conclusions:

    • TIVAS are a viable option for long-term venous access in patients with serious conditions.
    • Awareness of potential complications is key to successful TIVAS management.
    • Further studies can refine TIVAS protocols and improve patient outcomes.