TIVAD implantation - general and visceral surgery
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Topography of the subclavian vein
Infiltrating the surgical site with local anesthetic
Puncturing the subclavian vein
Puncture the vein with the needle initially at 70°-90° to the clavicle; after feeling no more resistance and with the needle definitely inferior to the clavicle, change the direction and advance the needle toward the (marked) suprasternal notch. Verify correct intraluminal placement by drawing venous blood into syringe.
Seldinger technique
Inserting the port tubing
Preparing the port pouch
Subcutaneous tunneling
Final functional verification
date of update: 29.09.2018
date of publication: 09.07.2012
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