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Central Venous Access¹

Central Venous Access refers to infusing factor and other medications using large veins near the heart. Central venous access devices (CVADs) are medical devices, inserted by a doctor, which allow factor and other medications to be delivered into one of these large veins.

In general, peripheral venous access is recommended instead of central venous access. However, in some situations CVADs may be the preferred option. It is important to note that, even when CVADs are used, they are considered a time-limited option, not a permanent solution.

Situations in which CVADs may be recommended by your healthcare professional for your child include:

• Young children
• Very small or difficult peripheral veins
• Need for repeated or frequent infusions
• Need for urgent venous access

Reasons that CVADs might not be the preferred treatment option for your child include:

• CVADs must be placed by a physician, usually in an operating room
• CVADs require use of sterile technique and careful management on the part of you and your child
• There is an increased risk of infection with CVADs
• There is a possibility of blood clots with CVADs

If you and your healthcare professional determine that a CVAD is the best option for your child, you’ll need to receive a great deal of support and assistance – not just at the beginning but throughout the time your child is learning and using the CVAD. Because the risks are somewhat greater with CVADs, you should contact your healthcare professional any time you are concerned or have questions.

It is also important to keep in mind that CVADs are not a long-term solution. Your healthcare professional may encourage your child to start learning peripheral venous access while still using a CVAD, so he’ll be prepared to make the transition when the time comes.

References

1. Ewenstein B, et al. Consensus Recommendations for Use of Central Venous Access Devices in Haemophilia. Haemophilia 2004: 10:629-48.

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Note: thereforyou.com does not recommend a particular treatment for specific individuals and recommends that you consult your treatment center or physician before pursuing any course of treatment.