Séance

56 - Communication libre
Vascular Access / Vein
3 juin 2021, 17:35 - 19:05, Stream 3: SSCVasculaire & SSCViscérale

Abstract

5
Video: Implantable pump for intravenous treprostinil intravenous delivery in the treatment of pulmonary arterial hypertension: A technical teaching video.
A. Dupuis, A. Peloso, F. Lador, C. Toso, Presenter: A. Dupuis (Geneva)

Objective
Intravenous prostacyclin pathway is a recognized treatment for pulmonary arterial hypertension (PAH). It is classically administrated via an external pump. High thermostability of treprostilin allows its delivery via an implantable pump, with a concomitant patient’s quality of life improvement and reduction of potential catheter infection. PAH is a rare disease and complication’s rateduring surgical implantation could be frequent by reduced case load outside of PAH expert centers. A treprostinil pump implantation could lead to severe complications as pneumothorax, hematoma, foreign body infection, venous or catheter thrombosis. Moreover, technical problems during the operation could lead to pump dysfunction requiring invasive revision. The aim of this step procedure’s video is to avoid complications and pump’s dysfunction.
Methods
Here we present a didactic video showing a safe procedure for the implantation of pump Lenus pro® in case of pulmonary hypertension. This video is principally destined to general and vascular surgery audience experienced in implantable venous access port.
Results
The video illustrate a step-by-step procedure: - Presentation of the pump and the refill procedure. - Cephalic vein dissection and placement of central venous catheter under radiological assessment. - Subcutaneous implantation of the pump in the abdominal wall. - Connection between the pump and the intravenous catheter by placement of the subcutaneous catheter.
Conclusion
Due to the reduced case load, this teaching video will take a key place in the formation of surgeon which have to implant a treprostinil pump for pulmonary hypertension.
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