A retrospective analysis on the utility and complications of upper arm ports in 433 cases at a single institute

Mori, Yoshio; Nagayama, Satoshi; Kawamura, Jun; Hasegawa, Suguru; Tanaka, Eiji; Okabe, Hiroshi; Takeuchi, Megumi; Sonobe, Makoto; Matsumoto, Shigemi; Kanai, Masashi; Muto, Manabu; Chiba, Tsutomu; Sakai, Yoshiharu

doi:10.1007/s10147-015-0917-1

Cited by 34 publications

(39 citation statements)

References 35 publications

(30 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…22 In this study, articles that evaluated this place of insertion regarding the risk of infections were not included. , catheter-related infection 9,11,16 and infection of the subcutaneous pouch 20 were the most prevalent infections in the studies, with a predominance of gram-negative bacteria, such as Staphylococcus aureus 12,14,16,19,20 and Sthaphylococcus epidermis. 16,20 In most cases, the catheter had to be removed and the causative agent had to be removed.…”

Section: 2013mentioning

confidence: 97%

“…11,13 In one, the types of treatment by adjuvant and neoadjuvant chemotherapies were compared and it was noticed that treatment by neoadjuvant chemotherapy is associated with a higher risk of infection. 13 Regarding the other study, chemotherapy was compared to intravenous infusion of fluids in order to identify which solution presented the greatest risk for the development of infections.…”

mentioning

confidence: 99%

“…For both studies, the infection was caused by bacteria and fungi. 11 In another study, chemotherapy was also one of the causes of infection that influenced the removal of the catheter. Although the mechanism between the incidence of infection and chemotherapy is not fully understood, this observation can be attributed to an early tumor stage, impaired immunity and the number of hospitalizations in some patients.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Complicações infecciosas associadas ao cateter venoso central totalmente implantável

Reichembach¹,

Amorim²,

Oliveira

et al. 2017

Rev enferm UFPE on line.

View full text Add to dashboard Cite

Objective: to seek scientific evidence on infectious complications associated with the use of a fully implantable central venous catheter in adult oncology patients. Method: integrative review, in which selection criteria and controlled descriptors were used, through the PICO strategy, to search for indexed articles in the Lilacs and Medline databases, from 2012 to 2017. A data collection instrument was used which covered: research topic, general objective, methodological characteristics, sample / population, intervention, control, results, conclusions and level of evidence. Results: 12 articles were included, which indicate that catheter-related infection, bloodstream infection and subcutaneous pouch infection were the most prevalent, and the microorganisms Staphylococcus aureus and Candida spp, the most common in the etiology. Conclusion: there was little scientific production about the research topic, with studies with a low level of evidence and absence of national publications, which demonstrates the need to deepen the thematic in the country through studies with strong methods for the significant evidence in the use of fully implantable central venous catheters. Descriptors: Nursing; Central Venous Catheterization; Catheter-Related Infections; Review. RESUMO Objetivo: buscar evidências científicas sobre complicações infecciosas associadas ao uso do cateter venoso central totalmente implantável em pacientes oncológicos adultos. Método: revisão integrativa, na qual se utilizaram critérios de seleção e descritores controlados, por meio da estratégia PICO, para a busca de artigos indexados nas bases de dados Lilacs e Medline, no período de 2012 a 2017. Foi empregado instrumento de coleta de dados que abrangeu: tema de pesquisa, objetivo geral, características metodológicas, amostra/população, intervenção, controle, resultados, conclusões e nível de evidência. Resultados: incluíram-se 12 artigos, os quais apontam que a infecção relacionada ao cateter, infecção da corrente sanguínea e a infecção da bolsa subcutânea foram as mais prevalentes, e os microrganismos Staphylococcus aureus e Candida spp, os mais comuns na etiologia. Conclusão: evidenciou-se escassa produção científica acerca da temática pesquisada, encontrando-se estudos com baixo nível de evidência e ausência de publicações nacionais, o que demonstra a necessidade de aprofundamento da temática no país por meio de estudos com métodos fortes para o levantamento de evidências significativas na utilização dos cateteres venosos centrais totalmente implantáveis. Descritores: Enfermagem; Cateterismo Venoso Central; Infecções Relacionadas a Cateter; Revisão. RESUMEN Objetivo: buscar evidencias científicas sobre complicaciones infecciosas asociadas al uso del catéter venoso central totalmente implantable en pacientes oncológicos adultos. Método: revisión integrativa, en la cual se utilizaron criterios de selección y descriptores controlados, por medio de la estrategia PICO, para la búsqueda de artículos indexados en las bases de datos Lilacs y Medline,...

show abstract

Section: 2013mentioning

confidence: 97%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Complicações infecciosas associadas ao cateter venoso central totalmente implantável

Reichembach¹,

Amorim²,

Oliveira

et al. 2017

Rev enferm UFPE on line.

View full text Add to dashboard Cite

show abstract

“…Twenty-one 7,8,20,22,25,36,39,41,42,48,55,61,64,68,69,71,75,76,92,94,95 of the 69 noncomparison studies (23 cohorts, n = 12 265) reported VTE by number of thrombosis per 1000 catheter-days. Within these studies, the pooled rate of VTE was 0.08 (95% CI: 0.06-0.10) per 1000 catheter-days ( Figure S2).…”

Section: The Incidence Of Tivap-related Vtementioning

confidence: 99%

Risk of venous thromboembolism associated with totally implantable venous access ports in cancer patients: A systematic review and meta‐analysis

Jiang

Pan

et al. 2020

Journal of Thrombosis and Haemostasis

View full text Add to dashboard Cite

Background Totally implantable venous access ports (TIVAPs) for chemotherapy are associated with venous thromboembolism (VTE). We aimed to quantify the incidence of TIVAP‐associated VTE and compare it with external central venous catheters (CVCs) in cancer patients through a meta‐analysis. Methods Studies reporting on VTE risk associated with TIVAP were retrieved from medical literature databases. In publications without a comparison group, the pooled incidence of TIVAP‐related VTE was calculated. For studies comparing TIVAPs with external CVCs, odds ratios (ORs) were calculated to assess the risk of VTE. Results In total, 80 studies (11 with a comparison group and 69 without) including 39 148 patients were retrieved. In the noncomparison studies, the overall symptomatic VTE incidence was 2.76% (95% confidence interval [CI]: 2.24‐3.28), and 0.08 (95 CI: 0.06‐0.10) per 1000 catheter‐days. This risk was highest when TIVAPs were inserted via the upper‐extremity vein (3.54%, 95% CI: 2.94‐4.76). Our meta‐analysis of the case‐control studies showed that TIVAPs were associated with a decreased risk of VTE compared with peripherally inserted central catheters (OR = 0.20, 95% CI: 0.09‐0.43), and a trend for lower VTE risk compared with Hickman catheters (OR = 0.75, 95% CI: 0.37‐1.50). Meta‐regression models suggested that regional difference may significantly impact on the incidence of VTE associated with TIVAPs. Conclusions Current evidence suggests that the cancer patients with TIVAP are less likely to develop VTE compared with external CVCs. This should be considered when choosing the indwelling intravenous device for chemotherapy. However, more attention should be paid when choosing upper‐extremity veins as the insertion site.

show abstract

“…1 The indwelling device not only serves as a secure vascular access point for parenteral medications, but also reduces the risks of repeat venipuncture. However, catheter-related complications, such as fracture, [2][3][4][5][6][7] malfunction, 8-10 migration, [11][12][13] catheter related thrombosis, 3 and infection 3,14,15 have been widely reported in the literature, with the rate of complications ranging from 1.8 to 33.95%. All available conventional ports mount the catheter via the connecting tube, with the possibility of mal-assembly leading to catheter flaring and inappropriate nut loading.…”

Section: Introductionmentioning

confidence: 99%

Initial experiences with a new design for a preattached intravenous port device

et al. 2017

J Biomed Mater Res

View full text Add to dashboard Cite

All available conventional ports share a common design, including catheter, locking nut, and port body, and all share two sites of structural weakness. One site is the junction between the locking nut and the proximal end of the catheter. The other site is the catheter fixation site between the locking nut and the protruding stud of the connecting tube. To overcome these shortcomings, we designed a new type of intravenous port which combines the connecting tube into one piece. The aims of this study were to test the mechanical characteristics of the new design and assess its safety in animal study. The prototype of the preattached port was manufactured from biocompatible materials, including PEEK, silicone and polyurethane. All components were assembled with biocompatible glue and mechanical and safety tests were performed to determine the mechanical strength, and tissue reaction of surrounding soft tissue and entry vessels. The mechanical tests showed the new design would not lead to catheter fracture in the oscillation test. The traction test showed significant peak load (18.75 ± 3.29 vs. 26.61 ± 1.75 N; p = 0.036) because of the difference in catheter extension capacity (26.57 ± 4.28 vs. 47.93 ± 2.45 mm; p = 0.012). Significantly smaller endurable injection pressure was identified in the prototype. (90 ± 20 vs. 177.5± 9.48 psi; p = 0.01) The safety test showed good tolerance in beagle dogs and led to no intravascular thrombus and minimal reaction in surrounding tissues. The new prototype preattached port showed good mechanical strength and overcame two potential structural weakness points. The integrated fixation design not only reduced the dimensions of the port device but also provided a greater injection area compared to current designs. It did not cause intravascular thrombosis and produced minimal tissue reaction in surrounding soft tissue, as identified by autopsy. The new design of the fixation device could serve as the basis for the next generation of intravenous ports. © 2017 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 106B: 1017-1027, 2018.

show abstract

A retrospective analysis on the utility and complications of upper arm ports in 433 cases at a single institute

Cited by 34 publications

References 35 publications

Complicações infecciosas associadas ao cateter venoso central totalmente implantável

Complicações infecciosas associadas ao cateter venoso central totalmente implantável

Risk of venous thromboembolism associated with totally implantable venous access ports in cancer patients: A systematic review and meta‐analysis

Initial experiences with a new design for a preattached intravenous port device

Contact Info

Product

Resources

About