Comparison of subcutaneous central venous port via jugular and subclavian access in 347 patients at a single center

Abstract

The purpose of the present study was to examine whether patency times, including complications of subcutaneous venous chest port insertion using ultrasonography (US) guidance, differ between jugular and subclavian venous access. Between December 2008 and July 2010, subcutaneous venous chest ports were placed in 347 patients by an experienced team. All single-lumen port catheters were placed into jugular and subclavian veins under US and fluoroscopy guidance. Patency times and complication rates of ports via these routes were compared and the variables were age, gender, access, site of malignancy and coagulation parameters. The success of the jugular and subclavian groups was compared by univariate Kaplan-Meier survival analysis and the multivariable Cox regression test. A total of 15 patients underwent port removal due to complications. As a rate per 100 catheter days, ports were explanted in 7 (0.0092) due to thrombosis, 4 (0.0053) for catheter malposition, one each (0.0013) of port reservoir flip-over, bleeding, port pocket infection, skin necrosis and incision dehiscence, for a total of 15 patients (0.0197). Patency times were not different in the jugular and subclavian veins. Factors were not significant, with the exception of platelet count. There was no significant difference in patency times, including complications, between jugular vein access and subclavian vein access using US. This should be considered when selecting the access method.

Factors on Patency Periods of Subcutaneous Central Venous Port: Long-Term Results of 1,408 Patients

“…However, we did not find any significant difference between these venous entry methods. In addition, port inversion or flip-over is a very rare complication (19)(20)(21)(22)(23). It was very rare in our study as well.…”

Performance of Venous Port Catheter Insertion by a General Surgeon: A Prospective Study

“…Severe arrhythmia, 1 embolism, 2 venous thrombosis, extravasation of fluids, 4 cardiac perforation, 10 arteriovenous fistula, 13 left thoracic ductus lesion, 21,22 phrenic or brachial plexus lesion, 23 and hematoma 24,25 in port pocket have been rarely reported in venous port catheter implantations. Life-threatening major complications were not seen in our case series containing 122 cases.…”

Internal jugular vein versus subclavian vein as the percutaneous insertion site for totally implantable venous access devices: a meta-analysis of comparative studies

“…Therefore, 12 studies [ 15 – 18 , 21 , 23 , 31 , 38 – 42 ] including 3905 patients (1824 patients in the IJV group and 2081 patients in the SCV group) published from 2008 to 2015 were included (Fig. 1 ).…”