Expert consensus on the clinical application of totally implantable venous access devices in the upper arm(2022 Edition)

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国家科技期刊平台
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NSTL
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外文摘要：With the widespread adoption of ultrasound guidance,Seldinger puncture techniques,and intracardiac electrical positioning technology for the placement of peripherally inserted central catheters in recent years,an increasing number of medical staff and patients now accept peripheral placement of totally implantable venous access de-vices(TIVADs)in the upper arm.This approach has the advantage of completely avoiding the risks of hemo-thorax,pneumothorax,and neck and chest scarring.Medical specialties presently engaged in this study in China include internal medicine,surgery,anesthesiology,and interventional departments.However,command over implantation techniques,treatment of complications,and proper use and maintenance of TIVAD remain uneven among different medical units.Moreover,currently,there are no established quality control standards for im-plantation techniques or specifications for handling complications.Thus,this expert consensus is proposed to improve the success rate of TIVAD implantation via the upper-arm approach,reduce complication rates,and ensure patient safety.This consensus elaborates on the technical indications and contraindications,procedures and technical points,treatment of complications,and the use and maintenance of upper-arm TIVAD,thus providing a practical reference for medical staff.

外文关键词：

Totally implantable venous access deviceUpper armCentral venous catheterComplicationMaintenance

作者：

Xiaoxia Qiu、Guangxin Jin、Xuebin Zhang、Lichao Xu、Jinxia Ding、Weisong Li、Lejing Yu、Yapeng Wang、Yanfang Shen、Hongzhi Wang、Jue Wang、Haiping Xu、Weiwei Kong、Lin Yuan、Xuming Bai、Ye Liu、Hong Liu、Ming Cai、Feng Luo、Yiqun Yang、Weizhu Xiao、Lujun Shen、Yuying Fang、Jinxiang Lin、Linfang Zhao、Li Qin、Yana Gao、Lei Chang、Lei Dong、Hailing Wei、Lili Wei

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作者单位：

Renji Hospital Shanghai Jiaotong University School of Medicine,Shanghai,China

Affiliated Cancer Hospital of Fudan University,China

The First Affiliated Hospital of Anhui Medical University,China

Liao Ning Cancer Hospital & Institute,China

The Second Xiangya Hospital of Central South University,China

Beijing Cancer Hospital,China

The First Affiliated Hospital with Nanjing Medical University,China

Nanjing Drum Tower Hospital,China

The Second Affiliated Hospital of Soochow University,China

The First Hospital of China Medical University,China

The First Affiliated Hospital of Chongqing Medical University,China

The First Affiliated Hospital of Soochow University,China

The Second Affiliated Hospital of Fujian Medical University,China

Sun Yat-sen University Cancer Center,China

The Third Affiliated Hospital of Sun Yat-sen University,China

Affiliated Sir Run Run Shaw Hospital of Zhejiang University School of Medicine,China

Henan Cancer Hospital,China

The First Affiliated Hospital of Zhengzhou University,China

Shenzhen People's Hospital,China

The Affiliated Hospital of Qingdao University,China

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出版年：

2023

DOI：

10.1016/j.jimed.2023.04.005

介入医学杂志(英文)

ISSN：

年,卷(期)：2023.6(2)

参考文献量1