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Modified Seldinger Technique for Open Central Venous Cannulation for Totally Implantable Access Device

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Totally Implantable Venous Access Devices

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Abstract

Open cannulation of the cephalic vein and percutaneous puncture of the subclavian or internal jugular vein are the two main approaches for totally implantable venous access device (TIVAD) implantation. The mean primary success rate of the open cannulation techniques with 80% is low compared to nearly 100% of percutaneous puncture. Therefore a rescue strategy after failed open cutdown of the cephalic vein is needed. The modified Seldinger technique can close this gap. It is a combination of open cutdown and the Seldinger technique using a guide wire, dilator and peel-away sheath through the dissected cephalic vein. The PORTAS 1 and PORTAS 2 trial could show an increase of successfully implantated TIVAD through open cutdown with the modified Seldinger technique as rescue strategy. In this chapter the modified Seldinger technique is explained and shown in detail.

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Authors and Affiliations

  1. Department of General Visceral and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany

    Philip Knebel

Authors
  1. Philip Knebel
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  2. Roland Hennes
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  3. Markus K. Diener
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  4. Christoph M. Seiler
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  5. Markus W. Büchler
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Corresponding author

Correspondence to Philip Knebel .

Editor information

Editors and Affiliations

  1. Department of Surgical Sciences Organ Transplantation and Advanced Technologies, University of Catania Cannizzaro Hospital, Catania, Italy

    Isidoro Di Carlo

  2. Division of Abdomino Pelvic Surgery, European Institute of Oncology, Milan, Italy

    Roberto Biffi

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© 2012 Springer-Verlag Italia

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Knebel, P., Hennes, R., Diener, M.K., Seiler, C.M., Büchler, M.W. (2012). Modified Seldinger Technique for Open Central Venous Cannulation for Totally Implantable Access Device. In: Di Carlo, I., Biffi, R. (eds) Totally Implantable Venous Access Devices. Springer, Milano. https://doi.org/10.1007/978-88-470-2373-4_8

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  • DOI: https://doi.org/10.1007/978-88-470-2373-4_8

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2372-7

  • Online ISBN: 978-88-470-2373-4

  • eBook Packages: MedicineMedicine (R0)

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