A Comparison of Outcomes and Complications of Totally Implantable Access Port Through the Internal Jugular Vein Versus the Subclavian Vein

Abstract

Totally implantable access ports (TIAPs) are generally used in oncology. Few studies have addressed complications associated with the insertion site. A total of 233 consecutive oncology patients were enrolled to receive TIAP inserts via internal jugular vein (IJV) or subclavian vein (SV). Data on clinicopathologic parameters and early/late complications were retrospectively collected. No differences were found early and late complication rates. Catheter injury was observed more frequently in the IJV group (2.9%) than in the SV group (1.0%) without statistical significance. Multivariate logistic regression analysis showed that age, switch to palliative use of TIAP, and the distribution of diseases (low risk in patients with colorectal cancer) were independent risk factors for determining complications. In conclusion, TIAP insertion site showed no impact on the early and late complication rates. Catheter injury appears to occur at the same frequency with both approaches. Therefore, medical doctors may choose their preferred puncture site when performing TIAP insertion.

Evaluation of three different techniques for insertion of totally implantable venous access device: A randomized clinical trial

“…The USG group had more success in the first attempt of puncture when compared to the other two groups and less technique failure when compared to the IJB group. These results are similar to those obtained by Granziera et al and Nagasawa et al .…”

“…The USG group had more success in the first attempt of puncture when compared to the other two groups and less technique failure when compared to the IJB group. These results are similar to those obtained by Granziera et al and Nagasawa et al [4,19]. We believe that higher success rate in first attempt and lower technique failure contribute to reduce the procedure duration, the risk of more serious complications and improve the patient's perception toward the procedure.…”

“…The primary outcome was observed in 6.3% of the sample, which is close to that reported in the literature [4,19]. The SCB was statistically significantly superior to IJB group, contrary to the findings of Araujo et at.…”

Four-dimensional CT-guided transcatheter removal of a fractured migrated catheter of a totally implantable venous access port

“…It is reported that placing a TIVAP catheter in the internal jugular vein has fewer complications than placing it in the subclavian vein 3. However, other studies have reported no difference in the frequency of complications between placing a TIVAP catheter in the internal jugular vein and that in the subclavian vein 4. In this case, fracture of the TIVAP catheter occurred in the subclavian area.…”

An Appraisal of Totally Implantable Venous Access Devices in Pediatric Cancers

“…An immediate complication was defined as an event occurring within 7 days after implantation. 17,18 Statistical analysis Demographic data were described by crude value and representative percentage. Categorical data were stratified by various factors and compared by chi-square test, while continuous data were compared with t-test.…”