Venous Access

Venous access is a process of establishing a route of administration of various medical treatments such as chemotherapy into the bloodstream of the patients. Many experts have noted that repeated temporary venous access can cause serious damage to the peripheral veins of the patients hence a venous access treatment is advised. To administer the venous access various devices (VADs) are used in cancer patients including peripheral venous catheters PVCs, peripherally inserted venous catheters (PICCs), and non-tunnelled central venous catheters (CVCs). 

The PVCs are used for short-term access and they have a low risk of complications compared to others. Non-tunnelled CVCs can be acquired easily but administered for a short period. They have a high risk of infection so they are recommended less by the doctors.

PICCs are thin and long tubes inserted into a particular vein of the arm and threaded through larger veins near the heart. It is suitable for intermediate-term access (up to a week to a 1-month access) and long-term access (longer than 30 days). In the process of venous access, the use of ultrasound guidance has decreased issues related to insertion. 

Why is venous access advised by the doctors?
Your doctor may advise you with a venous access procedure for numerous benefits. Some of them are mentioned below. 

  • They allow for painless administration of medications such as chemotherapeutic drugs, antibiotics and narcotics without the requirement of repetitive needle insertions. 
  • The venous access method can also help in repetitive blood testing, high volume of blood transfusions and bone marrow transplant methods. 
  • Most healthcare experts advise venous access as it does not interfere with daily activities and needs less flushing. Moreover, it also reduces the risk of infections as compared to other methods. 

Hence venous access is a safe and reliable medical care option that can offer patients a more comfortable and efficient method to get medications. 

What types of diseases can be treated through venous access? 
Venous access is a common procedure that can be used for the treatment of various diseases including cancers. For cancer patients chemotherapy is considered the most essential treatment element so a venous access medication is used there. Additionally, it can be also used for the treatment of infections where long-term antibiotic therapy is needed. A venous access treatment is used for the management of chronic diseases such as kidney conditions and congestive heart failure where regular blood samples are required for monitoring and treatment protocols. 

Who are the ideal candidates for this procedure? 
The ideal candidates for the venous access procedure include patients requiring long-term intravenous treatment such as those who are undergoing chemotherapy, and regularly receiving antibiotic treatments and haemodialysis. 

This procedure is also considered suitable for patients who need frequent blood samples or have difficulties receiving a simple IV line. 

The Expertise of Action Cancer Hospital in Venous Access 
At the Action Cancer Hospital, we have an expert team of experienced healthcare professionals with expertise in venous access procedures. We use modern instruments and techniques like ultrasonic guidance to reduce the risk of complications and ensure precise tip placements of catheters. Our dedicated team works hard to offer the highest standards of care and the best possible patient outcomes. 

In cancer patients, the choice of devices associated with venous access treatments depends upon different factors like type of cancer, prognosis, and overall health of the patient. Our team at Action Cancer Hospital works closely with each patient to determine the most appropriate device for their conditions. Additionally, we also offer education and support to all our patients to help them manage their venous access devices to limit the risk of complications.
 

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Disease & Treatment

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Chemport Insertion

Chemport insertion involves placing a small device under the skin that connects to a central vein. This port allows for easy administration of chemotherapy, medications, and fluids, as well as blood withdrawal, making long-term treatment more manageable and less uncomfortable for patients.

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PICC Line Insertion

A peripherally inserted central catheter (PICC) line is a long, thin tube inserted into a vein in the arm and guided to a large vein near the heart. It is used for patients needing long-term intravenous therapy, offering a safer and more comfortable option than traditional central lines.

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Tunelled Catheters

Tunneled catheters are long-term central venous catheters inserted into a vein and tunneled under the skin before entering the bloodstream. This reduces the risk of infection and is often used for patients requiring prolonged intravenous therapy.

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Midline Catheter Placement

A midline catheter is a type of intravenous catheter placed into a vein in the upper arm, extending to a vein just below the shoulder. It is used for patients needing intermediate-term intravenous therapy, providing a less invasive option than central lines.

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Central Venous Catheters

Central venous catheters (CVCs) are long, thin tubes inserted into a large vein, often in the neck, chest, or groin, to administer medication, fluids, or collect blood samples. They are essential for patients requiring long-term intravenous therapy.

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Snaring of broken chemoports / PICC lines

Snaring involves the retrieval of broken or dislodged chemoports or peripherally inserted central catheters (PICC lines) from the bloodstream. This is done using a snare device under imaging guidance to safely capture and remove the broken fragments.

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Fibrin Sheath Removal

Fibrin sheath removal is a procedure to clear a fibrin sheath, a fibrous coating that can form around central venous catheters, causing blockages and reducing their effectiveness. This involves using special techniques to break up and remove the sheath, restoring catheter function.

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Thrombolysis of thrombosis

Thrombolysis is a treatment used to dissolve blood clots (thrombosis) within the veins. This procedure involves injecting clot-dissolving medication directly into the clot through a catheter, restoring normal blood flow and preventing complications.

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