A Subclavian Port Won't Flush: Replace or Wait?
Carousel1 min read·Published Oct 2026

A Subclavian Port Won't Flush: Replace or Wait?

Interactive medical decision slide asking whether to replace or wait on a non-flushing subclavian port.
Checklist slide for troubleshooting central line issues before surgical removal with anatomical heart illustration
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Carousel · Oct 2026 · 1 min read

In brief

In brief

Educational carousel addressing troubleshooting strategies for non-flushing subclavian ports in pediatric patients. Reviews diagnostic approach and decision-making between immediate replacement versus conservative management of malfunctioning central venous access devices.

Written by the GCMD Library team from the carousel.

Slides

4 pages · click to turn to one

A structured comparison chart displaying three treatment modalities in vertical columns with icons, percentage metrics, and outcome indicators. Each column uses distinct visual markers to represent different surgical techniques, with success rates prominently displayed and complication data shown below. Color coding differentiates the three approaches.

Central venous access. A social-media carousel made possible by Cincinnati Children's.
The text in the image

Pediatric Achalasia: Surgical Approach Comparison | Heller Myotomy | 78% Success Rate | Esophageal Dilatation | 45% Success Rate | POEM (Peroral Endoscopic Myotomy) | 99% Success Rate | Complication Rates | Training Requirements | 742 Cases Reviewed | Systematic Review 2023

The text on each slide
  1. Made possible by Cincinnati Children's | A SUBCLAVIAN PORT WON'T FLUSH. | THE TEAM WANTS TO REMOVE AND REPLACE IT. | You're in the room | Do you replace — or wait? | REPLACE | WAIT | A near-miss case. Make your call, then swipe.
  2. Made possible by Cincinnati Children's | You're in the room | Do you say yes — or say wait? | YES | WAIT | Before removing it, the interventional radiologist did a dye study. | The port wasn't broken. It was accessed incorrectly. | Nathan Fagan, MD | Pediatric Interventional Radiologist, Akron Children's Hospital
  3. Made possible by Cincinnati Children's | If the team had pulled the port: | • It would be an unnecessary procedure for a port that worked fine | • It would impact future vascular access — ultrasound had suggested catheter narrowing | Nathan Fagan, MD | Pediatric Interventional Radiologist, Akron Children's Hospital
  4. Made possible by Cincinnati Children's | ⭐ The Lesson | Before removing a malfunctioning central line... | Confirm proper access first. | A quick checklist before you call surgery: | ✓ Reaccess — could it be a placement issue? | ✓ Involve IR — a dye study may show the real problem | ✓ Check imaging — narrowing changes the calculus | Full video — link in bio. | GC
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