Complications - TIVAD implantation

  1. Intraoperative complications

    • Pneumothorax by malpuncture with aspiration of air indicating lung injury→ radiographic and clinical follow-up, with the surgeon staying at the patient’s side; possibly chest tube insertion (depending on the clinical situation).
    • Intraoperative air embolism → attempted aspiration of the air (possibly) via the catheter in situ. Otherwise no specific treatment possible.
    • Port tubing cannot be inserted below the clavicle → predilate by inserting a bigger dilation catheter
    • Arterial malpuncture → steady local compression for at least 5 minutes
    • Port catheter cannot be advanced → fluoroscopic imaging while administering contrast agent via the indwelling needle, followed by advancing the guidewire.
    • Unsuccessful puncture → termination of operation. Option: Implantation of a TIVAD via the cephalic vein.
Postoperative complications

Secondary pneumothorax → chest tube insertionTIVAD occlusion→ unblocking attempt with heparin, if u

Activate now and continue learning straight away.

Single Access

Activation of this course for 3 days.

€4.99 inclusive VAT

Most popular offer

webop - Savings Flex

Combine our learning modules flexibly and save up to 50%.

from €3.29 / module

€39.50 / yearly payment

price overview

general and visceral surgery

Unlock all courses in this module.

€9.08 / month

€109.00 / yearly payment