1. Expert consensus on the clinical application of totally implantable venous access devices in the upper arm (2022 Edition).
- Author
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Qiu X, Jin G, Zhang X, Xu L, Ding J, Li W, Yu L, Wang Y, Shen Y, Wang H, Wang J, Xu H, Kong W, Yuan L, Bai X, Liu Y, Liu H, Cai M, Luo F, Yang Y, Xiao W, Shen L, Fang Y, Lin J, Zhao L, Qin L, Gao Y, Chang L, Dong L, Wei H, and Wei L
- Abstract
With the widespread adoption of ultrasound guidance, Seldinger puncture techniques, and intracardiac electrical positioning technology for the placement of peripherally inserted central catheters in recent years, an increasing number of medical staff and patients now accept peripheral placement of totally implantable venous access devices (TIVADs) in the upper arm. This approach has the advantage of completely avoiding the risks of hemothorax, pneumothorax, and neck and chest scarring. Medical specialties presently engaged in this study in China include internal medicine, surgery, anesthesiology, and interventional departments. However, command over implantation techniques, treatment of complications, and proper use and maintenance of TIVAD remain uneven among different medical units. Moreover, currently, there are no established quality control standards for implantation techniques or specifications for handling complications. Thus, this expert consensus is proposed to improve the success rate of TIVAD implantation via the upper-arm approach, reduce complication rates, and ensure patient safety. This consensus elaborates on the technical indications and contraindications, procedures and technical points, treatment of complications, and the use and maintenance of upper-arm TIVAD, thus providing a practical reference for medical staff., Competing Interests: Lujun Shen is an youth editorial board member for Journal of Interventional Medicine and was not involved in the editorial review or the decision to publish this article. All authors declare that there are no competing interests., (© 2023 Shanghai Journal of Interventional Radiology Press. Publishing services by Elsevier B.V. on behalf of KeAi Communications Co. Ltd.)
- Published
- 2023
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