Purpose or Case Report: Implantable Venous Access Devices (IVAD) play an important role in medical treatment and comfort to pediatric patients requiring long term intravenous therapy. Traditionally, 2 small surgical skin incisions are utilized in the procedure, one in the neck for jugular venous access and the other in the chest wall to create a subcutaneous pocket for the IVAD reservoir. The authors describe an innovative technique, where a long-curved needle and curved guidewire are utilized to obtain internal jugular vein access through a single chest wall incision for both vascular access and the IVAD reservoir. The subcutaneous tract and the venous access sites are serially dilated and the IVAD is placed over the wire. This technique avoids the incision placed at the neck. This modification has multiple potential advantages, as it avoids a second incision in at risk patients (tracheostomy, anasarca, cervical instability), potential better cosmetic outcome and potentially lower risk of infection,. The purpose of this educational abstract is to demonstrate this innovative minimally invasive technique of placing IVAD in pediatric population.
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