{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:06:48Z","timestamp":1777936008057,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2020,9,22]],"date-time":"2020-09-22T00:00:00Z","timestamp":1600732800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p>Several recent literature reports regarding the flushing technique of TIVADs highlight how the definition of the optimal flushing interval is still a source of controversy. Several recent studies indicate more and more frequently how 4\u2009weeks can be considered a too short interval for the flushing of a totally implantable access device (TIVAD); on the other hand most of the main guidelines and instructions for use provided by the device\u2019s manufacturers still suggest an interval between 4\u2009weeks and 1\u2009month as the ideal one. The recent meta-analysis by Wu et al. on this topic, promotes an important strategy change, indicating the possibility of extending the flushing intervals at least up to 8\u2009weeks. This editorial extensively discusses the flushing methods of TIVADs highlighting the need for important and substantial changes, both in extending the range of flushes and in the solutions and methods to be used. It represents an invitation to the scientific community and device manufacturers for a complete revision of the indications on flushing techniques.<\/jats:p>","DOI":"10.1177\/1129729820959928","type":"journal-article","created":{"date-parts":[[2020,9,23]],"date-time":"2020-09-23T02:44:41Z","timestamp":1600829081000},"page":"689-691","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Extending the interval of flushing procedures of totally implantable vascular access devices in cancer patients: It is time for a change"],"prefix":"10.1177","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7235-3444","authenticated-orcid":false,"given":"Sergio","family":"Bertoglio","sequence":"first","affiliation":[{"name":"Department of Surgical Sciences, University of Genova, Genova, Italy"},{"name":"Chirurgia 1 \u2013 Policlinico San Martino, Genova, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,9,22]]},"reference":[{"key":"bibr1-1129729820959928","author":"Wu X","year":"2016","journal-title":"J Vasc Access"},{"key":"bibr2-1129729820959928","doi-asserted-by":"publisher","DOI":"10.1159\/000294919"},{"key":"bibr3-1129729820959928","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2354.2008.00973.x"},{"key":"bibr4-1129729820959928","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000740"},{"key":"bibr5-1129729820959928","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2013.09.002"},{"key":"bibr6-1129729820959928","first-page":"S1","volume":"39","author":"Gorski L","year":"2016","journal-title":"J Infus Nurs"},{"key":"bibr7-1129729820959928","doi-asserted-by":"publisher","DOI":"10.5301\/jva.5000576"},{"key":"bibr8-1129729820959928","doi-asserted-by":"publisher","DOI":"10.1097\/NAN.0000000000000311"},{"key":"bibr9-1129729820959928","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/985686."},{"issue":"6","key":"bibr10-1129729820959928","first-page":"S93","volume":"39","author":"Chen MB","year":"2016","journal-title":"Cancer Nurs"},{"key":"bibr11-1129729820959928","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2018.27.8.S4"},{"key":"bibr12-1129729820959928","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2019.04.435"},{"key":"bibr13-1129729820959928","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdz434.025"},{"key":"bibr14-1129729820959928","doi-asserted-by":"publisher","DOI":"10.1097\/NCC.0000000000000819."}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1129729820959928","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1129729820959928","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1129729820959928","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:17:07Z","timestamp":1777691827000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1129729820959928"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,22]]},"references-count":14,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1177\/1129729820959928"],"URL":"https:\/\/doi.org\/10.1177\/1129729820959928","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,22]]}}}