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Totally Implantable Venous Access Devices

Management in Mid- and Long-term Clinical Setting

  • Authors
  • John E. Niederhuber
  • Isidoro Di Carlo
  • Roberto Biffi

Table of contents

  1. Front Matter
    Pages i-xviii
  2. Introduction

    1. Front Matter
      Pages 1-1
    2. Roberto Biffi
      Pages 3-9
    3. Jason Malenfant, Kathleen Bubb, Alena Wade, R. Shane Tubbs, Marios Loukas
      Pages 11-17
  3. Totally Implantable Access Devices

    1. Front Matter
      Pages 35-35
    2. Isidoro Di Carlo, Adriana Toro
      Pages 43-54
    3. Philip Knebel, Roland Hennes, Markus K. Diener, Christoph M. Seiler, Markus W. Büchler
      Pages 71-78
  4. Immediate Complication: Prevention and Treatment

    1. Front Matter
      Pages 105-105
    2. Roberto Biffi
      Pages 107-113
    3. Hasan Karanlik, Sidika Kurul
      Pages 115-121
    4. Hasan Karanlik, Sidika Kurul
      Pages 123-128
    5. Zhang Qinming
      Pages 129-131
    6. Adriana Toro, Isidoro Di Carlo
      Pages 133-136
    7. Adriana Toro, Isidoro Di Carlo
      Pages 137-140
    8. Walid Faraj, Ahmad Zaghal
      Pages 141-143
  5. Early Complications: Diagnosis and Treatment

    1. Front Matter
      Pages 145-145
    2. Alexandra Ozimek, Pierre A. Clavien, Antonio Nocito
      Pages 147-151
    3. Adriana Toro, Isidoro Di Carlo
      Pages 153-156
    4. Alexandra Ozimek, Pierre A. Clavien, Antonio Nocito
      Pages 157-160
    5. Francesca Ratti, Marco Catena, Michele Paganelli, Luca Aldrighetti
      Pages 161-163
  6. Late Complications

    1. Front Matter
      Pages 165-165
    2. Adriana Toro, Roberto Biffi, Isidoro Di Carlo
      Pages 167-171
    3. Zhang Qinming
      Pages 173-181
    4. Francesca Ratti, Michele Paganelli, Marco Catena, Luca Aldrighetti
      Pages 183-186
    5. Francesca Ratti, Marco Catena, Michele Paganelli, Luca Aldrighetti
      Pages 187-190
    6. Hong-Shiee Lai
      Pages 191-199
    7. Walid Faraj, Ahmad Zaghal
      Pages 201-204
    8. Franco Orsi
      Pages 205-208
    9. Alexandra Ozimek, Pierre A. Clavien, Antonio Nocito
      Pages 209-212
    10. Adriana Toro, Isidoro Di Carlo
      Pages 213-220
    11. Lisa Dougherty
      Pages 221-226
    12. Alexandra Ozimek, Pierre A. Clavien, Antonio Nocito
      Pages 227-230
    13. Paul L. Blackburn, Ton J. H. van Boxtel
      Pages 231-237
    14. Gennaro D. LaBella, Julius Tang
      Pages 247-255
    15. Robert P. Sticca, Bree D. Dewing, Joel D. Harris
      Pages 257-263
    16. José Luis Fougo
      Pages 265-268
    17. Rita Celli
      Pages 269-275
    18. Roberto Biffi, Isidoro Di Carlo
      Pages 277-281
  7. Back Matter
    Pages 283-286

About this book

Introduction

Since their first application in 1982, Totally Implantable Venous Access Devices (TIVADs) have become increasingly important in the clinical practice, as more intensive chemotherapy and parenteral treatments have come into use. At this time, there is objective evidence that TIVADs are a safe, effective strategy for long-term venous access; they play a significant role throughout the management of the oncology patient, as they are needed in the initial phases for active treatments as well as in the last stages for palliative measures, making possible repeated administration of chemotherapeutic vesicant agents, nutrients, antibiotics, analgesics, and blood products. According to a number of prospective studies, use of TIVADs is associated with a significant complication rate (10% to 25% of all patients). Evidence-based data support that most complications are directly related to inappropriate technique of placement and/or nursing care, sometimes leading to TIVAD loss, significant morbidity, increased duration of hospitalization, and additional medical cost.

A group of world-renowned experts - both in the clinical and research fields – contributed to this volume, whose aim is to provide clinicians, nurses and medical students with a multidisciplinary, full update on these devices, as long term central venous access can no be longer considered a routine matter, and serious complications can be maintained at a very low level only if strict adherence to a well-defined protocol of surgical technique and of catheter care is maintained.

Keywords

central venous access devices chemioterapy port surgical cut-down totally implantable venous access device

Editors and affiliations

  • Isidoro Di Carlo
    • 1
  • Roberto Biffi
    • 2
  1. 1.Department of Surgical Sciences Organ Transplantation and Advanced TechnologiesUniversity of Catania Cannizzaro HospitalCataniaItaly
  2. 2.Division of Abdomino Pelvic SurgeryEuropean Institute of OncologyMilanItaly

Bibliographic information

  • DOI https://doi.org/10.1007/978-88-470-2373-4
  • Copyright Information Springer-Verlag Italia 2012
  • Publisher Name Springer, Milano
  • eBook Packages Medicine
  • Print ISBN 978-88-470-2372-7
  • Online ISBN 978-88-470-2373-4
  • Buy this book on publisher's site
Industry Sectors
Pharma
Health & Hospitals
Biotechnology