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Evaluation On-Demand Video ViewAttendees 34

Abstract Submission

Alternative Access

(H5) Radiology or Bedside? Today's Indications for Vascular Access Device Placement

Saturday, September 20, 2025
4:45 PM - 5:45 PM ET
Location: Lafayette 3-4
Earn 1 CE Hour(s)
On-Demand
Disclosure(s):
Matthew D. Ostroff, MSN, AGACNP, VABC: No financial relationships to disclose
Gail M. Egan, MS, ANP-C, FSIR: No financial relationships to disclose
During this presentation, we will explore the evolution of vascular access techniques, from their surgical origins to the cutting-edge methods used today. Our discussion will highlight how POCUS, along with a micro puncture approach and new device technologies, has revolutionized the placement of central venous catheters (CVCs), peripherally inserted central catheters (PICCs), and other vascular access devices. A key part of this session will be the collaborative discussion between two vascular access specialists, one from the bedside perspective and the other from interventional radiology. Through this dual viewpoint, we will compare and contrast the various indications, contraindications, and potential complications of vascular access procedures across different clinical settings. The bedside specialist will share insights into real-time patient management and decision-making, while the interventional radiologist will provide a detailed understanding of imaging-guided techniques and the intricacies of advanced vascular access placement.

Learning Objectives:

  • Technological Innovations: An overview of the technologies that have enabled the safe transition of these procedures to the bedside, including POCUS, micro-puncture, and tip location techniques.
  • Contraindications and Safety Considerations: Exploring the conditions under which certain vascular access procedures should be avoided, and how clinicians assess patient risk to ensure safety during these interventions.
  • Complications of Vascular Access: A detailed discussion of common and rare complications that may arise with a focus on how to mitigate these risks in both bedside and radiology-guided settings.
  • Case Studies: Real-world examples will be presented, highlighting the decision-making process, the challenges faced in both environments, and how these innovations have improved patient care and outcomes.