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Image Guided Therapy
Image Guided Therapy

Vascular Access Resource Centre

A large part of IGT involves the insertion, removal and maintenance of Central Venous Access Devices (CVAD). A multidisciplinary team (consisting of interventional radiologists, paediatricians, registered nurses and medical radiation technologists) approach is used to address all vascular access requirements and issues.

The Vascular Access Resource Nurse plays a fundamental role in the Vascular Access Resource Centre, which includes:

    • Assessment and triage of all vascular access requests
    • Meeting with the families of children who will receive a central venous access device (CVAD) to explain the procedure, benefits and potential risks of these devices
    • Acting as a resource for health care professionals for troubleshooting CVAD complications
    • Troubleshooting questions and issues from referring hospitals and families
    • Developing Practice Guidelines for the care of CVADs that are current and evidence based

How does the Vascular Access Resource Centre differ from the Vascular Access team?

The Vascular Access team’s primary focus is on the insertion of Peripheral Intravenous (PIV) lines. The Vascular Access Resource Centre on the other hand, is primarily focused on long term CVADs such as CVLs, PICCs, and Ports. These devices are the preferred access for children who require long term treatment lasting from weeks to years.

Central Venous Access Devices (CVADs)

Central Venous Line (CVL)

A CVL is usually placed in a patient that requires frequent intravenous (IV) therapy over a long period of time. A CVL is along, thin flexible tube that is inserted into one of the large veins leading to the heart. Click for more information.
CVL Insertion: Caring for your child at home after the procedure
CVL Removal: Caring for your child at home after the procedure

Peripherally Inserted Central Catheter (PICC)

A PICC is usually placed in patients who require medicine, IV fluids or frequent blood work over a period of weeks. It is a long, soft, thin flexible tube that is inserted into the vein of a patient’s arm (sometimes leg for babies) and connects to a large vein leading to the heart. Click for more information.
PICC Insertion: Caring for your child at home after the procedure
PICC Removal: Caring for your child at home after the procedure

Port

A Port is a device placed completely inside the patient’s body. This device is used in patients who require IV therapy intermittently over a long period of time. There are two parts: one is the port chamber, which lies just under the skin, where the needle is inserted when it is being used; the second part is the long, soft, thin flexible tube that attaches to the port chamber and is inserted into a vein leading to the heart. Click for more information.
Port-A-Cath Insertion: Caring for your child at home after the procedure
Port-A-Cath Removal: Caring for your child at home after the procedure

Who gets a CVL, PICC or PORT?

One of the primary determinants of which CVAD device is inserted in a patient is the length, type and frequency of therapy. PICC's generally stay in anywhere from weeks to months, whereas CVL's and Ports can stay in for months or years. The difference between a port and a CVL is that the port is placed entirely inside the body and is ideal for very intermittent use, whereas the CVL is partly external to the body and is more suitable for frequent use.

Contact information

Vascular Access Resource Nurse
Phone:  416-813-6986

CVAD Securement Resource
Phone:  416-813-6054  ext. 28490.

To request a central line insertion, removal or maintenance, click here