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Epilogue
Complications of a totally implantable venous access device
  1. Omendra Narayan1,
  2. Sheng-Ang Ho1,
  3. Warren Lenney1,2,
  4. David Wells3,
  5. Francis Gilchrist1,2
  1. 1Academic Department of Child Health, Royal Stoke University Hospital, Stoke-on-Trent, UK
  2. 2Institute of Science and Technology for Medicine, Keele University, Staffordshire, UK
  3. 3Imaging Department, Royal Stoke University Hospital, Stoke-on-Trent, UK
  1. Correspondence to Dr Omendra Narayan, Academic Department of Child Health, Royal Stoke University Hospital, Stoke-on-Trent ST4 6QG, UK; o.narayan{at}nhs.net

https://doi.org/10.1136/archdischild-2014-307605

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    A 7-year old boy with cystic fibrosis (CF) presented with an infective chest exacerbation and was systemically well. His totally implantable venous access device (TIVAD) was accessed on admission to administer intravenous antibiotics but it was difficult and painful to flush. The TIVAD was inserted 3 years previously and maintained according to the manufacturer's recommendations including a heparinised saline flush every 4–6 weeks. There had been no previous problems with accessing or function of the TIVAD. A plain chest X-ray (figure 1) as well as a high resolution …

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    Footnotes

    • Contributors ON wrote the first draft; WL, DW and FG did the final revision of the manuscript. S-AH has revised the latest version for consideration as an Epilogue submission.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.