TIVAD implantation - general and visceral surgery
You have not purchased a license - paywall is active: to the product selection
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
Once intravenous access has been gained, insert the guidewire through the needle. Make a stab incision with a scalpel (no. 11) and then insert the dilator with the introducer.
Remove the guidewire and cover the introducer with a fingertip to prevent any air embolism (here not always illustrated adequately).
Remove the dilator while keeping the introducer in place.
Inserting the port tubing
Preparing the port pouch
Subcutaneous tunneling
Final functional verification
Single Access
Access to this lecture
for 3 days
€4.99 inclusive VAT

webop-Account Single
full access to all lectures
price per month
for the modul: vascular surgery