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Totally Implanted Access Ports: Indications and Prevention of Complications

  • Didier S. Kamioner
Chapter

Abstract

Repeated venipunctures are often aggressive, painful, and sometimes dangerous, especially with the risk of severe extravasation during the administration of anticancer chemotherapy. An implanted central catheter (ICC) can be used for chemotherapy, infusions, transfusions, and blood samples and for the administration of various medications or parenteral nutrition requiring repeated access to the venous system. The installation must be done by a trained operator in surgical aseptic conditions. To prevent complications, training, information, protocols, and evaluation are recommended. Nevertheless, some important complications may occur during installation or use of the device (hematoma, pneumothorax, thrombosis, extravasation, infection, no reflux, etc.).

Keywords

Totally implanted access ports Venipuncture Thrombosis Catheter infection Extravasation Recall reaction Huber needle Venous reflux Pinch-off syndrome Costoclavicular clamp 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Didier S. Kamioner
    • 1
  1. 1.Department of Medical Oncology and HematologyHôpital Privé Ouest ParisienTrappesFrance

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