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

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