How do I take care of myself at home? Locations

Insertion site care Abbotsford-Regional Hospital 604-851-4866 nd • Change the outer bandage on your upper Medical Imaging, 2 Floor, Fraser Wing 32900 Marshall Road, Abbotsford chest the day after your procedure. Put a Hospital 604-434-4211 new bandage over your incision to protect it Medical Imaging, 3rd Floor from rubbing against clothing until it heals. 3935 Kincaid St., Burnaby • Remove the outer bandage from your neck 604-984-5775 Medical Imaging, Lower Level Implanted Venous the day after your procedure. 231 East 15th Street, North • There will be some small white strips of 604-278-9711 Access Device Medical Imaging, Main Floor Putting one in place tape across the incisions. Leave these in 7000 Westminster Hwy, Richmond place. They will fall off on their own over Medical Imaging 604-520-4640 the next week. Medical Imaging, Columbia Tower 330 E. Columbia Street, • Take tub baths or sponge baths for 1 week St. Paul’s Hospital 604-806-8006 but only get wet to the mid-chest. No Medical Imaging, 2nd Floor, Providence Building showers for the first week. 1081 Burrard Street, Vancouver Activity at home Surrey Memorial Hospital 604-588-3308 Medical Imaging, 1st Floor, Lower Level • Do not do any strenuous exercise or lifting 13750 96th Avenue, Surrey anything over 4.5kg (101bs) for 7 days. UBC Hospital 604-822-7076 Medical Imaging, Main Floor • You might have minor pain for the next 1 2211 Westbrook Mall, Vancouver to 2 days. Take the pain medicine you Vancouver General Hospital 604-875-4111 usually take for minor aches and pains. Interventional Radiology, Jim Pattison Pavilion Ext 68612 Station 4, Ground Floor, 855 West 12th Avenue, Vancouver

When to get help Go to the nearest Emergency Department or call 9-1-1 if you have: HealthLinkBC 8-1-1 Call any time you have any questions or concerns. HealthLinkBC

- sudden shortness of breath Coastal Vancouver Health© chest pain is open 24 hours. - Available in 130 languages. For an interpreter, say your language Contact your doctor as soon as possible if in English. Wait until an interpreter comes on the phone. you notice:

- any bleeding, redness, pain, or pus from the incision area www.fraserhealth.ca  www.vch.ca - fever above 38.5°C (101°F), aches This information does not replace the advice given to you by your healthcare provider. and chills August 2020 FH Catalogue #266156 VCH Catalogue #FA.200.I47

What is an Implanted Venous What happens before the procedure? Will it hurt? Access Device? You will be contacted by the Medical Imaging You may have some pain or discomfort in An implanted venous access device (also Department, with specific instructions about the neck while the catheter is inserted into referred to as a Port or IVAD – say eye-vad) how to prepare for this procedure. place. Numbing medication and pain is for people who need regular infusions of medication are used to help with this. If you have questions about the procedure, medications or treatments such as you can ask the radiologist before your chemotherapy or electrolyte replacement. How long will it take? procedure. Every person and situation is different. It The IVAD is a hollow device (reservoir or An intravenous is started before the usually takes about 45 to 60 minutes to do port) attached to a flexible tube (catheter). procedure. This allows us to give you the procedure. The reservoir sits just under the skin. The medicine to help you relax (sedation). catheter goes into a large vein in the center You are monitored both during and after the What happens after the procedure? of your chest. procedure. We move you to a recovery area for a period The device is used to give medications, of time before going home. You stay here for fluids, blood or blood products, and What happens during the procedure? 2 to 3 hours. This will be discussed with you nutrition directly into the blood stream. The radiologist: before the procedure. Sometimes it is used to take blood samples. • Injects numbing medication (similar to The device stays in place for as long as you dental freezing) into area in the upper chest need it. This could be for months or years Who will be doing the procedure? and lower neck area. depending on the reason for the device. A radiologist (a doctor who specializes in • Makes 2 small cuts (incisions), 1 at the lower image-guided procedures) uses ultrasound, neck and 1 in the upper chest. Are there any risks or complication? fluoroscopy, and x-ray to accurately place The risks of this procedure are very low. the catheter. • Places the port just under the skin of the upper chest below your collarbone. Unexpected complications include but are Can I bring a relative or friend? not limited to: • Guides the catheter into a large vein in your Yes, a relative or friend can stay with you chest using real-time x-ray (fluoroscopy). - bleeding or infection at the insertion site before and after the procedure. However, for - injury to surrounding tissues such as • Closes the skin with stitches (or sutures) that safety reasons, they cannot be in the room with the lung you during the procedure. We will tell you absorb on their own. where they can wait during the procedure. • Places bandages over both incisions. We do a chest x-ray to confirm the position of You must arrange for a responsible adult to drive or the catheter. escort you home after this procedure.

Implanted Venous Access Device over…