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Judith Borsody Lotti, NP, VA-BC

Nurse Practitioner, Massachusetts General Hospital, Hopkinton, Massachusetts

Judith Borsody Lotti graduated from the UMASS Medical Center NP program in 1998. She became the first NP at Massachusetts General Hospital in 2000 and helped developed the role. She has over 10 years of experience placing venous access devices.

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Catherine Saltalamacchia, ANP-BC, VA-BC

Adult Nurse Practitioner, Massachusetts General Hospital, Boston, Massachusetts

presenter photoCatherine Saltalamacchia is a Nurse Practitioner, who is a core member of the advance practice team for the MGH's Interventional Radiology Department, a group that places over 1700 devices a year, including chest ports, arm ports, tunneled lines, pheresis catheters, PICC lines and dialysis lines. Prior to MGH, Catherine worked in IR providing procedural sedation in cardiac catheterization lab providing sedation and many years a surgical/ trauma/ CV ICU nurse.

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Gloria Salazar, MD

Assistant Radiologist, Massachussetts General Hospital, Boston , Massachusetts

presenter photoGloria Salazar has been an Interventional Radiologist for 8 years with expertise in central venous access and venous procedures. Her practice provides services and consults to patients at the Massachusetts General Hospital's Cancer and Cystic Fibrosis Centers. Dr. Salazar has several publications in this topic and has presented lectures at the Massachusetts Association for Vascular Access Network, Association for Vascular Access Annual Scientific Meeting, as well as scientific presentations at the Society of Interventional Radiology meetings. Her professional goal is to continue to advance the science of venous access and educate clinicians on best practices.

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Alternative Access Track

Trending Topic Sessions

Not the Chest, Then Where? Alternative Placement of Venous Access Ports via the Arm and Translumbar Approach When Traditional Chest Placement Is Not a Feasible Option

calendar9/9/2014

clock3:45 PM - 4:45 PM

clockRoom: Potomac 3-4

CE Hours: 1.2


Judith Borsody Lotti, NP, VA-BC

Nurse Practitioner, Massachusetts General Hospital, Hopkinton, Massachusetts

Catherine Saltalamacchia, ANP-BC, VA-BC

Adult Nurse Practitioner, Massachusetts General Hospital, Boston, Massachusetts

Gloria Salazar, MD

Assistant Radiologist, Massachussetts General Hospital, Boston , Massachusetts

In situations where traditional chest wall placement for long term central venous access is not feasible, both the arm and direct translumbar approach can offer an alternative for long-term central venous access. These procedures can be performed under conscious sedation and as an outpatient. Specific information about indications, technical aspects of these procedures and long term care will be given.

Learning Objectives:

  • Identify the indications for VAP placement via arm and translumbar approach.
  • Understand procedural steps to insertion of both arm and translumbar ports.
  • Identify post procedural/long term management of issues unique to these alternative approaches.

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