An 11-year retrospective study of totally implanted central venous access ports: Complications and patient satisfaction

Ignatov, Atanas; Hoffman, O; Smith, Bobbie; Fahlke, J.; Peters, Björn; Bischoff, Joachim; Costa, Serban-Dan

doi:10.1016/j.ejso.2008.01.020

Cited by 120 publications

(133 citation statements)

References 18 publications

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“…Landmark-mark based punctures of the subclavian vein in particular were associated with increased rates of pneumothorax (11,(13)(14)(15)(16)(17). In addition, infection rates were lower for ultrasound-guided approaches with the Seldinger technique (1.1-8.8%) (3,11,13,18,19) compared with surgical cut-down (0.8-16.3%) (10,(20)(21)(22)(23)(24)(25). Moreover, the radiological technique does not require general anesthesia and is cost effective (26).…”

mentioning

confidence: 99%

Totally Implantable Central Venous Port Catheters: Radiation Exposure as a Function of Puncture Site and Operator Experience

Jonczyk

Gebauer

Rotzinger

et al. 2018

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mentioning

confidence: 99%

Totally Implantable Central Venous Port Catheters: Radiation Exposure as a Function of Puncture Site and Operator Experience

Jonczyk

Gebauer

Rotzinger

et al. 2018

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“…Ignatov ve ark. [14] yapmış oldukları çalışmada tromboz gelişme insidansını %7.5 olarak bulmuşlardır. Kateterin süperior vena kavanın üst yarısında lokalize olmasının bu trombozda en önemli belirleyicilerden biri olduğu net olarak bilinmektedir.…”

Section: Discussionunclassified

“…Bu verimize benzer bulguları yapılmış birçok çalışmada bulmak mümkündür. [14,16,17] Vücut kütle indeksi arttıkça hastalara yapılan işlemin güçleşmesi, buna bağlı oluşacak endotel hasarı riskinin artması; bununla beraber kilo-doz iliş-kisi nedeni ile verilecek kemoterapötik ajan miktarının artması neticesinde damar duvarında hasar riskinin oluşması muhtemeldir.…”

Section: Discussionunclassified

Port catheter implantation under scopy in hybrid operation rooms

Bayrak¹

2012

Turk Gogus Kalp Dama

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Amaç: Bu çalışmada, kardiyovasküler cerrahi ünitelerinde son yıllarda hızla artan şekilde oluşturulan ve yeni açı-lımlara neden olan hibrid ameliyathanelerde yapılan port kateter implantasyon sonuçları değerlendirildi. Ça lış ma pla nı: Bu çalışmaya Kasım 2008 -Aralık 2010 tarihleri arasında hastanemiz hematoloji ünitesinde çeşitli patolojiler nedeniyle yatan ve tedavileri sırasında port kateter implantasyonu yapılan 54 hasta dahil edildi. Hastaların tamamına kalp damar cerrahisi hibrid ameliyathanesinde intravenöz sedasyon ve lokal anestezi altında, skopi eşliğinde port kateter takılması işlemi uygulandı. Bul gu lar: İşlemin başarı oranı %100 olarak hesaplanırken, işleme bağlı majör komplikasyon gelişmedi. Yalnızca bir hastada lokal hematom saptandı, uzun dönemde ise bir hastada tromboz gözlendi. Bir hastada ise geç dönemde lokal enfeksiyon saptandı. So nuç:Subkutan venöz portların kalp ve damar cerrahisi ameliyathanelerinde skopi altında implantasyonu, literatürde bildirilen klasik cerrahi olgu serileriyle karşılaştırıl-dığında daha düşük komplikasyon oranı ile gerçekleştiri-lebilmektedir.Anah tar söz cük ler: Hibrid ameliyathane; malignite; port kateter; skopi.

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“…Interventional radiologists can implant the TIVAP in an outpatient setting, offsetting the costs [8]. However, the procedure and its subsequent maintenance are not free of side effects; infections, hematoma, malpositioning, pneumothorax, thrombosis/blockage, embolization, and catheter fracture remain important complications associated with TIVAP [1,2,8,9]. Over the course of the past decade, reports suggest that the complication rate has decreased with improved techniques and material [10].…”

Section: Introductionmentioning

confidence: 99%

“…They serve not only for safe administration of chemotherapy, but also for prolonged administration of fluids, blood and blood products, antibiotics, parenteral nutrition, and frequent blood sampling [1][2][3][4][5]. There are different types of venous access devices, but totally implantable venous access ports (TIVAP) are now used most commonly because of their safety, cosmesis, low infection rates, ease of implantation, and use [1,3,6,7]. TIVAP can be implanted in an office setting under local anesthesia.…”

Section: Introductionmentioning

confidence: 99%

Use of port-a-cath in cancer patients: a single-center experience

Dsouza

Kumar

Kakaria

et al. 2014

J Infect Dev Ctries

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Introduction: Central venous catheters play an important role in the management of cancer patients. Different types of devices are associated with different patterns of complications. We report on the pattern of use and rate of complications of port-a-caths in patients diagnosed with malignant cancer at a single institution. Methodology: The data were collected retrospectively from patients who received the treatment for solid tumors or lymphoma through a porta-cath at the Sultan Qaboos University Hospital (SQUH) between January 2007 and February 2013. Results: A total of 117 port-a-caths were inserted in 106 patients. The majority (86; 73.5%) were implanted by an interventional radiologist, and the right internal jugular vein was accessed in 79 (67.5%) patients. Mean catheter indwelling time was 354 (range 3-1,876) days for all patients, 252 (3-1,876) and 389 days (13-1,139) for patients with and without complications, respectively. Thirty (25.6%) port-a-caths were removed prematurely, mainly due to infectious complications, while 17 (14.5%) were removed after completion of treatment. Staphylococcus aureus was the most frequently isolated organism, found in 8 (6.8%) patients. Underlying diagnosis (p < 0.001), chemotherapy regimen (p < 0.001), sensitivity to antibiotics (p = 0.01), and any complication (p < 0.001) were significant factors affecting the duration of port-a-cath use. None of these factors were significant on multivariate cox regression analysis. Conclusions: The mean duration of port-a-cath use was almost one year. Infection was the most common complication leading to premature removal, followed by port thrombosis.

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An 11-year retrospective study of totally implanted central venous access ports: Complications and patient satisfaction

Cited by 120 publications

References 18 publications

Totally Implantable Central Venous Port Catheters: Radiation Exposure as a Function of Puncture Site and Operator Experience

Totally Implantable Central Venous Port Catheters: Radiation Exposure as a Function of Puncture Site and Operator Experience

Port catheter implantation under scopy in hybrid operation rooms

Use of port-a-cath in cancer patients: a single-center experience

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