1990
DOI: 10.1016/s0022-3468(05)80176-9
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A comparison of placement techniques and complications of externalized catheters and implantable port use in children with cancer

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Cited by 83 publications
(35 citation statements)
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“…One pediatric study observed CVL failure-that is, loss of patency-to be less likely with percutaneous CVL than with surgically inserted CVL. 21 Loss of CVL patency, however, does not necessarily correlate with large vessel thrombosis. In contrast, a recent study in adults observed an increased frequency of VTE with CVL inserted by radiologists-that is, percutaneously-than with CVL inserted by surgical cut-down.…”
Section: Discussionmentioning
confidence: 99%
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“…One pediatric study observed CVL failure-that is, loss of patency-to be less likely with percutaneous CVL than with surgically inserted CVL. 21 Loss of CVL patency, however, does not necessarily correlate with large vessel thrombosis. In contrast, a recent study in adults observed an increased frequency of VTE with CVL inserted by radiologists-that is, percutaneously-than with CVL inserted by surgical cut-down.…”
Section: Discussionmentioning
confidence: 99%
“…Few studies have provided data on the association between CVL body side, 8,[10][11][12][13][14][15] CVL vein location, 14,[16][17][18][19][20] or CVL insertion technique 15,21 with the incidence of VTE. Results from these studies are inconsistent or even contradictory, probably because of differences in study design, selection of study populations, and outcome assessment.…”
Section: Introductionmentioning
confidence: 99%
“…Since there are no external components, they are less visible and more easily accepted by patients: They cause no restrictions on daily activities; local care is easier; the risk of infection [1][2][3] and thrombosis [4] is lower, they are less costly; and they can be kept in place for longer periods of times. For these reasons, TIVADs have been commonly used in oncological patients, both adults and children.…”
Section: Introductionmentioning
confidence: 99%
“…Since some data suggest that they have a higher complication rate compared to indwelling catheters in patients with hematological malignancies, 12 venous ports have been preferentially used in patients with solid tumors. 13,14 Nevertheless port systems have been shown to provide stable venous access beyond day 100 15 with a rate of infection and thrombosis comparable to external vascular access devices even in patients with leukemia. 2,[16][17][18][19] Ports were shown to provide longer failurefree function than Hickman and Broviac catheters.…”
Section: Discussionmentioning
confidence: 99%
“…2,[16][17][18][19] Ports were shown to provide longer failurefree function than Hickman and Broviac catheters. 15 The feasibility of prolonged and durable central venous access in a dog model of myeloablative BMT has been shown by Dennis et al 20 While there are reports on single lumen ports in patients with leukemia, 21 no data on the prospective use of port devices in patients receiving allogeneic blood stem cell transplantation have been published. In the present study, we have shown the feasibility of using a DLPS in patients undergoing allogeneic SCT.…”
Section: Discussionmentioning
confidence: 99%