Late complications associated with totally implantable venous access port implantation via the internal jugular vein

Tsuruta, Shigeaki; Goto, Yuichi; Miyake, Hideo; Nagai, Hidemasa; Yoshioka, Yuichiro; Yuasa, Norihiro; Takamizawa, Junichi

doi:10.1007/s00520-019-05122-3

Cited by 21 publications

(28 citation statements)

References 38 publications

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“…Improper handling at the junction between the catheter and port, as well as the large bag made by the surgeon so that the port has a large range of motion and even rotation, may be important factors leading to catheter bending at the junction. 2 The BCV approach is often reported in newborns because the diameter and length of the blood vessels of the IJV and SCV are too diminutive; thus, it is difficult to perform vascular puncture. Nevertheless, in the BCV approach in newborns, the left side is used more than the right side, with greater success.…”

Section: Discussionmentioning

confidence: 99%

“…It is frequently used for the infusion of various materials, such as chemotherapeutic drugs, fluid supplements, and parenteral nutrition support. [2][3][4][5] Compared with the peripherally inserted central catheter (PICC) or central venous catheter (CVC), the TIVAP has many advantages and is more readily accepted by patients because of its long service life, ease of nursing, and lack of impact on the quality of life. [6][7][8][9][10][11][12] TIVAP has been widely used in the clinic in recent years, and clinicians have gradually observed a series of clinical complications, such as arterial puncture, pneumothorax, thrombosis, and catheter rupture.…”

Section: Introductionmentioning

confidence: 99%

“…Many methods have been reported to implant TIVAPs into patients, among which the subclavian vein (SCV) and internal jugular vein (IJV) approaches are the two most commonly used clinically. 2,6,13 However, few studies have investigated the brachiocephalic vein (BCV) as a central venous access in adult patients. In recent years, with the advances in the application of ultrasound technology, ultrasound-guided TIVAP implantation via the BCV has also been used clinically.…”

Section: Introductionmentioning

confidence: 99%

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Perioperative and Postoperative Complications of Supraclavicular, Ultrasound-Guided, Totally Implantable Venous Access Port via the Brachiocephalic Vein in Adult Patients: A Retrospective Multicentre Study

Yu¹,

Sun²,

Bai³

et al. 2021

TCRM

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Purpose The totally implantable venous access port (TIVAP) provides patients with safe, effective and long-term convenient venous access for the administration of medications such as chemotherapy drugs. The implantation and long-term use of TIVAP are related to thrombosis, infection and other complications. In this study, the medical records of multicentre patients were collected, and the perioperative and postoperative complications were retrospectively analysed to objectively evaluate the safety of the implantation of supraclavicular, ultrasound-guided TIVAP via the brachiocephalic vein (BCV). Patients and Methods We retrospectively analysed the clinical data of 433 adult patients who had undergone ultrasound-guided TIVAP implantation via the BCV at four hospitals in China from March 2018 to May 2019. The success rates of the first puncture, operation time, and perioperative and postoperative complications were analysed. Results All the TIVAPs were implanted successfully (100%). The average TIVAP carrying time was 318.15 ±44.22 days (range: 38–502 days) for a total of 197,694 catheter days. The success rate of the first puncture was 94.92% (411/433), and the average operation time was 29.66 ±7.45 min (range: 18–60 min). The perioperative complications included arterial puncture in 4 patients and pneumothorax in 1 patient. The incidence of postoperative complications was 5.08% (22/433), including poor incision healing (n = 2), catheter-related infection (n = 3), port infection (n = 6), thrombosis (n = 2) and fibrin sheath formation (n = 8). Another patient had infusion disturbance 2 days after the operation, and chest X-ray showed bending at the connection between the catheter and port. No other serious complications occurred, such as catheter rupture and drug leakage. The total incidence of complications was 6.24% (27/433). Conclusion This study showed excellent tolerance of supraclavicular, ultrasound-guided BCV puncture to implant TIVAP and a low incidence of complications. As a safe and effective method of TIVAP implantation, it can provide a new choice for clinicians.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Perioperative and Postoperative Complications of Supraclavicular, Ultrasound-Guided, Totally Implantable Venous Access Port via the Brachiocephalic Vein in Adult Patients: A Retrospective Multicentre Study

Yu¹,

Sun²,

Bai³

et al. 2021

TCRM

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“…Conventionally, a PC would be implanted percutaneously through the contralateral subclavian or internal jugular vein under local anesthesia a couple of days later after breast operation. 16,17 The subclavian vein has been the prior approach for PC implantation in our institute. The subclavian vein approach for PC implantation would need the guide of ultrasound.…”

Section: Etcmentioning

confidence: 99%

“…However, the insertion and removal of a PC are more invasive than PICC. Conventionally, a PC would be implanted percutaneously through the contralateral subclavian or internal jugular vein under local anesthesia a couple of days later after breast operation 16,17 . The subclavian vein has been the prior approach for PC implantation in our institute.…”

Section: Introductionmentioning

confidence: 99%

Intraoperative ipsilateral subclavian port catheter implantation in resectable breast cancer patients: A novel, safe, and convenient clinical practice

Liu

et al. 2020

Cancer Medicine

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Background Port catheter (PC) is a classical route of administering chemotherapy for breast cancer patients. We established a standard operating procedure (SOP) of intraoperative ipsilateral subclavian PC implantation in selected resectable breast cancer patients. Methods We conducted a prospective clinical study to assess its safety and complications. A total of seventy six resectable breast cancer patients were included for intraoperative ipsilateral subclavian PC implantation. Thirty patients receiving conventional percutaneous contralateral PC implantation under local anesthesia at the same period were recruited as control group. The time consuming of implantation, and PC‐related complications were recorded. Visual analog scale questionnaires were used to assess patients’ satisfaction. Results Compared with conventional contralateral PC implantation under local anesthesia, SOP for intraoperative ipsilateral subclavian PC implantation significantly shortens the time consuming (11.6 vs. 28.6 min, p < 0.001). With a median retention time of 6.3 months, the overall incidence rate of PC‐related complications is 21%, of which the most common complications are infections and venous thromboembolism (7.9% for each). Most patients (86.8%) with intraoperative ipsilateral subclavian PC implantation have completed the whole chemotherapy successfully. Due to the general anesthesia and shorter time consuming, intraoperative implantation gains significantly more patients' satisfaction. Conclusions In the present study, we develop a SOP for intraoperative ipsilateral subclavian PC implantation in resectable breast cancer patients, which is noval, convenient, and safe. In selected breast cancer patients with indications for adjuvant chemotherapy, this practice could significantly shorten the time consuming of PC implantation and improve the degree of patients' satisfaction.

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Evidenz der Portimplantation

Grundmann

2024

Port-Operationen

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Late complications associated with totally implantable venous access port implantation via the internal jugular vein

Cited by 21 publications

References 38 publications

Perioperative and Postoperative Complications of Supraclavicular, Ultrasound-Guided, Totally Implantable Venous Access Port via the Brachiocephalic Vein in Adult Patients: A Retrospective Multicentre Study

Perioperative and Postoperative Complications of Supraclavicular, Ultrasound-Guided, Totally Implantable Venous Access Port via the Brachiocephalic Vein in Adult Patients: A Retrospective Multicentre Study

Intraoperative ipsilateral subclavian port catheter implantation in resectable breast cancer patients: A novel, safe, and convenient clinical practice

Evidenz der Portimplantation

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