Experience in totally implantable venous port catheter: Analysis of 3,000 patients in 12 years

Yanık, Fazlı; Karamustafaoğlu, Yekta Altemur; Karataş, Adem; Yörük, Yener

doi:10.5606/tgkdc.dergisi.2018.15299

Cited by 20 publications

(19 citation statements)

References 16 publications

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“…[1][2][3] Previous studies regarding the TIVAD insertion are summarized in Table 4. According to the existing Guth [5] Yildizeli et al [6] Araújo et al [7] Narducci et al [8] Keum et al [9] Seok et al [10] Nagasawa et al [11] Aziret et al [12] An et al [13] Gurkan et al [14] Ma et al [15] Zerati et al [16] Feo et al [17] Bazine et al [18] Yanık et al [19] 2018 3000 SV, IJV Kim et al [20] literature, the overall complication rate following TIVAD insertion ranges from 3.1 to 33.9%. [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] The overall complication rate in our study population was 12.5%, consistent with the results reported in previous studies.…”

Section: Discussionmentioning

confidence: 99%

Complications and management strategies of totally implantable venous access port insertion through percutaneous subclavian vein

Velioğlu

Yüksel

Sınmaz

2019

Turk Gogus Kalp Dama

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Bu çalışmada perkütan subklaviyen ven yoluyla tamamen implante edilebilir venöz erişim portu yerleştirilen hastaların klinik özellikleri, periprosedürel sonuçları, erken ve geç komplikasyonları ve tedavi stratejileri sunuldu.Ça lış mapla nı:Mart 2012 -Haziran 2018 tarihleri arasında perkütan landmark yöntemi ile subklaviyen ven yoluyla 2000 kanser hastasına (1066 erkek, 934 kadın; ort. yaş: 58.4±12.7 yıl; dağılım, 18-88 yıl) toplam 2084 port cihazı yerleştirildi. Demografik özellikler, primer tanı, teknik başarı, işlem süresi, cihazın kalma süresi, cihazın çıkarılma nedenleri ve erken ve geç komplikasyonlar dahil olmak üzere tıbbi veriler retrospektif olarak incelendi. Bul gu lar:En sık görülen kanser türü erkeklerde kolon kanseri, kadınlarda meme kanseri idi. İşlemin teknik başarı oranı %98.5 idi. Hastaların çoğunda (%92.4) sağ subklaviyen ven üzerinden erişim sağlandı. Arteriyel ponksiyon, kateter malpozisyonu, yüzeyel hematom ve pnömotoraks gibi erken komplikasyonlar 143 hastada (%6.9) gözlenir iken, 118 hastada (%5.7) enfeksiyon, kateter tıkanması, venöz tromboz, yara problemleri, kateter göçü ve embolizasyonu ve pinch-off sendromu gibi geç komplikasyonlar gelişti. En sık erken komplikasyon 63 hastada (%3) hatalı arteriyel ponksiyon iken, 44 hastada (%2.1) enfeksiyon en sık görülen geç komplikasyondu. Kemoterapinin tamamlanması veya komplikasyon gelişmesi nedeniyle toplam 192 port cihazı çıkarıldı.So nuç: Çalışmamız yüksek teknik başarı ve düşük komplikasyon oranları ile perkütan subklavyen ven yoluyla tamamen implante edilebilir venöz erişim portu yerleştirilmesinin güvenliğini ve tolerabilitesini doğrulamıştır.Anah tar söz cük ler: Komplikasyon, perkütan, port kateter, subklavyen ven, tamamen implante edilebilir venöz erişim cihazı.

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Section: Discussionmentioning

confidence: 99%

Complications and management strategies of totally implantable venous access port insertion through percutaneous subclavian vein

Velioğlu

Yüksel

Sınmaz

2019

Turk Gogus Kalp Dama

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“…According to the large case series, the rate of catheter mispositioning following TIVAP insertion varies between 0.2% and 3.1% [2,[7][8][9][10][11][12][13][14][15][16][17] (Table 1). [16] 2018 3000 0.2% 9.6% Kim et al [17] 2019 843 0.3% 4%…”

Section: Discussionmentioning

confidence: 99%

“…It has been indicated that TIVAP insertion under imaging guidance reduces the procedure-related complication rates [18][19][20]. On the other hand, surgeons use either cut-down or percutaneous landmark-based technique for implantation, with low complication rates [2,[7][8][9][10][11][12][13][14][15][16][17]. Since we, the surgeons, are very familiar with blind-landmark technique as well as vascular anatomy of neck and chest regions, and also may recognize and treat the potential procedure-related complications quickly and properly, we applied the blindlandmark technique during TIVAP insertion but unfortunately observed this adverse event.…”

Section: Discussionmentioning

confidence: 99%

An unusual catheter malposition following totally implantable venous access port insertion: The catheter tip located into the right axillary vein

Yüksel¹,

Velioğlu²,

Demirel³

et al. 2019

Journal of Surgery and Medicine

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“…Major issues related to intravenous port implantation include first attempt success rate [ 1 , 2 , 3 ] and peri-operative and late complications [ 4 , 5 , 6 , 7 ]. Several native vessels can be used as the entry vessel for chest port insertion, including the cephalic vein [ 2 , 3 ], deltoid branch of the thoracoacromial vein [ 8 ], the axillary vein [ 1 , 9 ], the internal jugular vein [ 3 ], the external jugular vein [ 2 ], the left brachiocephalic vein [ 10 , 11 ], and the subclavian vein [ 12 , 13 , 14 ]. However, different implantation methods are used for different target vessels and varying long-term results have been reported.…”

Section: Introductionmentioning

confidence: 99%

“…Third, completely avoid subclavian vein and lower neck IJV puncture. This eliminates iatrogenic arterial puncture [ 13 , 14 ], hemothorax [ 17 ], and mediastinal hematoma [ 18 ]. In addition, pneumothorax [ 13 , 14 ] and catheter fracture related to pinch-off syndrome [ 19 ] are completely avoided.…”

Section: Introductionmentioning

confidence: 99%

Long-Term Results of a Standard Algorithm for Intravenous Port Implantation

Wen

et al. 2021

JPM

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Intravenous ports serve as vascular access and are indispensable in cancer treatment. Most studies are not based on a systematic and standardized approach. Hence, the aim of this study was to demonstrate long-term results of port implantation following a standard algorithm. A total of 2950 patients who underwent intravenous port implantation between March 2012 and December 2018 were included. Data of patients managed following a standard algorithm were analyzed for safety and long-term outcomes. The cephalic vein was the predominant choice of entry vessel. In female patients, wire assistance without use of puncture sheath was less likely and echo-guided puncture via internal jugular vein (IJV) with use of puncture sheath was more likely to be performed, compared to male patients (p < 0.0001). The procedure-related complication rate was 0.07%, and no pneumothorax, hematoma, catheter kinking, catheter fracture, or pocket erosion was reported. Catheter implantations by echo-guided puncture via IJV notably declined from 4.67% to 0.99% (p = 0.027). Mean operative time gradually declined from 37.88 min in 2012 to 23.20 min in 2018. The proposed standard algorithm for port implantation reduced the need for IJV echo-guided approach and eliminated procedure-related catastrophic complications. In addition, it shortened operative time and demonstrated good functional results.

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Experience in totally implantable venous port catheter: Analysis of 3,000 patients in 12 years

Cited by 20 publications

References 16 publications

Complications and management strategies of totally implantable venous access port insertion through percutaneous subclavian vein

Complications and management strategies of totally implantable venous access port insertion through percutaneous subclavian vein

An unusual catheter malposition following totally implantable venous access port insertion: The catheter tip located into the right axillary vein

Long-Term Results of a Standard Algorithm for Intravenous Port Implantation

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