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How to prepare

vascular accessHilman Ibrahim

Div. Of Vascular and EndovascularFKUI/!"#

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$hat is Vascular %ccess &V%'

a way to get/reach the blood vesselfor

the insertion of a exible thin;

- plastic tube

- catheter, into a blood vessel

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)eripheralvenous catheter Double lumen

catheter

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Indication andContraindication

Indicationelatifcontraindication

1 !e"odialysis

# Che"otherapy

$ %utrition

& 'luid ad"inistration

( )rugs ad"inistration

* +lood transfusion

ntiviral therapy

. ain 0"ergency Case "anage"ent

ngiology

2 Coagulopathy

2 llergy to the catheter"aterial

2 3ediastinal tu"or

2 45in infection ati"plantation site

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Vascular access can throu*h

Intra arterial

Intra venous6

- perifer a si"ple intravenous 7iv8

- central peripherally inserted central

catheter

central venous catheter 7cvc8

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Intra %rterial

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ortic neurys"

09:

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+u*ular vein

!ubclavia vein ,rachial vein

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is-s/,enets of "V")lacement

Indications for centralvenous catheter 7C9C8Inadeuate peripheral

vascular access

%eed for freuent vascularaccess

!ypertonic/hyperos"olar

infusions

Infusion of irritating orvesicant drugs

:apid absorption andblood/tissue perfusion

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imin* V.% 0

0"ergency 6 life saving

=e"porery 6

er"anent 6 !) access+lood strea" over a period, either days

or wee5s to years

i9 Catheter

)ouble lu"en Catheter !)

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he t1pes of V% "atheters

astandard intravenous 7iv8 lineaperipherally inserted central catheter 7ICC

anon tunneled catheter with a cu>

aport catheter or subcutaneous i"plantable

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Duration0

1 I9 erifer less than wee5

2. Non Tunnelled CVC( ? days3. Peripherally Inserted CVC (PICC)"ore than

wee5s-"onth

4. Skin tunnelled CVC"ore than * "onth

5. Subutanoues portost e!eti"e"ore than

"onth @ Totally i#plantable

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2on tunneled "V" !-in tunneled"V"

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!ubcutaneous port

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Vena "ava Filter

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How should V% prepare (

Indication=i"e6

A4B )oppler 6

+lood Clot 7bt,ct8

-ray 7uoroscopy8

C-r"

!hort term/da1

3on* term/wee-s4 month/1ears

#appin*/anatom1

%ssess the vein

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How is the procedure performed (

eripher 7iv line8

Central catether 6 - Dugular vein

- subclavia

- fe"oral- brachial

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re EperativeEperative

ost Eperative

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atient

na"nesis/!istory- Co"orbid/Anderlying )isease

-)3

- rterioscleorosis- !eart 'ailure

- =rau"a F unctureG / C)