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Implantable venous access device.

D Franceschi1, M A Specht, C Farrell

  • 1Department of Surgery, University Hospitals of Cleveland, Case Western Reserve University, Ohio.

The Journal of Cardiovascular Surgery
|January 1, 1989
PubMed
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Totally implantable vascular devices offer a safe and effective method for long-term venous access in oncology patients. These devices demonstrate favorable outcomes compared to other methods, with excellent patient acceptance and cost benefits.

Area of Science:

  • Vascular Surgery
  • Oncology
  • Medical Devices

Background:

  • Long-term angio access is crucial in vascular surgical practice.
  • Totally implantable vascular devices emerged in the early 1980s for chronic venous access.
  • These devices offer a potentially favorable alternative to existing methods.

Purpose of the Study:

  • To evaluate the safety and efficacy of totally implantable vascular devices for chronic venous access in oncology patients.
  • To assess complication rates, including sepsis and occlusion.
  • To emphasize a modified implantation technique for improved outcomes.

Main Methods:

  • Implantation of 76 totally implantable vascular devices in 73 oncology patients.
  • Devices were in place for 14,509 patient days.

Related Experiment Videos

  • A modified percutaneous technique using fluoroscopy for catheter placement and reservoir pocket creation was employed.

    • Main Results:

    • Low rates of catheter-related sepsis (3.9%) and catheter occlusion (6.5%).
    • Three occlusions were successfully treated with streptokinase.
    • Late complications included pocket infection in 3 patients.
    • No serious complications occurred during device placement with the modified technique.

    Conclusions:

    • Implantable vascular devices can be safely inserted with minimal morbidity.
    • These devices provide convenient access for blood drawing, chemotherapy, and intravenous therapy.
    • Patient acceptance is excellent, with an improved cost-benefit ratio compared to other chronic venous access methods.