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Vascular access procedures involve the insertion of specialised catheters to facilitate long-term administration of medications, fluids, and nutrition, as well as for dialysis and blood sampling. These minimally invasive techniques provide a safe and efficient way to deliver treatment while reducing the need for repeated needle punctures. Peripherally inserted central catheters (PICC lines), Chemoports, and Permacaths are commonly used for patients requiring extended intravenous therapy. A PICC line is a long, thin catheter inserted through a vein in the arm and advanced to a central vein near the heart. It is widely used for chemotherapy, antibiotic therapy, and parenteral nutrition. The procedure is performed under ultrasound and fluoroscopic guidance to ensure accurate placement, reducing the risk of complications such as thrombosis or infection.
A chemoport, or an implantable port, is a small device placed under the skin, usually in the chest, connected to a catheter leading to a central vein. It is particularly beneficial for cancer patients undergoing frequent chemotherapy, as it allows easy access to the bloodstream without repeated needle sticks. Permacath is a tunnelled dialysis catheter for patients requiring temporary or long-term hemodialysis. It is placed in the jugular or subclavian vein, ensuring reliable vascular access for dialysis sessions. These devices improve patient comfort, reduce the risk of vein damage, and minimise complications associated with prolonged intravenous therapy. Proper care and maintenance, including regular flushing and aseptic handling, prevent infections and ensure long-term functionality. At Manipal Hospital, Yeshwanthpur, our interventional radiology team ensures precise placement of vascular access devices, optimising treatment outcomes and patient comfort.
Below are the key procedures under vascular access:
PICC Line Insertion: Provides long-term venous access for chemotherapy, antibiotics, and intravenous nutrition.
Chemoport Placement: Implantable device for frequent chemotherapy administration, reducing the need for repeated needle sticks.
Permacath Insertion: A tunnelled catheter used for temporary or long-term haemodialysis access.
Fluoroscopy-Guided Placement: This ensures the accurate positioning of catheters in central veins for optimal function.
Maintenance and Removal: Regular care, flushing, and safe removal of vascular access devices when no longer needed.
Infection Prevention Strategies: Aseptic techniques to reduce catheter-related bloodstream infections and complications.
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