Long-term, totally implantable central venous access ports connected to a Groshong atheter for chemotherapy of solid tumours: Experience from 178 cases using a single type of device

Biffi, Roberto; Corrado, Francesco; Braud, Filippo de; Lucia, F. De; Scarpa, Daniela; Testori, Alessandro; Orsi, Franco; Bellomi, Massimo; Mauri, Sílvia; Aapro, Matti; Andreoni, B.

doi:10.1016/s0959-8049(97)00039-7

Cited by 104 publications

(66 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The most important factors contributing to this complication are the experience of the surgeon and the attention paid to the anatomical landmarks. 10 In our series, only one case (0.42%) developed pneumothorax, which was treated by tube drainage. In four cases, an artery was punctured and 5 min of compression prevented additional morbidity.…”

Section: Discussionmentioning

confidence: 54%

Subclavian Venous Port Catheter Implantation in General Surgery: 238 Cases From a Single Center

Güner¹,

Tümay²,

Zorluoğlu³

et al. 2013

Turkiye Klinikleri J Med Sci

View full text Add to dashboard Cite

A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : In general surgery, venous port catheters (VPC) are useful for maintaining long-term parenteral nutrition and protecting the venous system from trauma due to repeated access, such as in cancer patients. However, the most common users of this technique are cardiovascular surgeons and radiologists. The most popular route for long-term central venous catheterization is the subclavian vein, although it carries a 12% rate of peri-procedural complications. The aim of this retrospective study was to investigate the early and late complications associated with percutaneous insertion of VPCs by general surgeons and to compare the complication rates with those reported in the literature. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : We investigated clinical and demographical data of 238 cancer patients who underwent totally implantable, indwelling, subclavian port catheterization in our General Surgery Clinic between March 2006 and December 2009. The port catheters implanted to the patients by the two experienced surgeons, using the same technique. R Re es su ul lt ts s: : One patient developed pneumothorax (0.42%) and in 4 (1.68%) patients inadvertent subclavian artery puncture was occurred. Catheter migration developed in 3 (1.26%) cases, two caused by spontaneous catheter rupture (Pinch off Syndrome) and the other one caused by catheter disconnection. C Co on n--c cl lu us si io on n: : In experienced hands, percutaneous implantation of an indwelling port catheter through the subclavian vein is safe with low complications and a high success rate. Good patient monitoring and a multidisciplinary approach are important for management of any likely complications.K Ke ey y W Wo or rd ds s: : Catheterization, central venous; catheters, indwelling Ö ÖZ ZE ET T A Am ma aç ç: : Venöz port kateter, uzun süreli parenteral nütrisyon ihtiyacı olan ve kanser hastaları gibi sıkça venöz girişim yapılan hastalarda venöz sistemi travmadan korumak için kullanılan faydalı bir uygulamadır. Hastaların yaklaşık %12'sinde perioperatif komplikasyonlar ortaya çıksa da, subklavyen ven kullanımı uzun dönem santral venöz kateterizasyon için en popüler yoldur. Bu teknik sıklıkla kardiyovasküler cerrahlar ve girişimsel radyologlar tarafından uygulanmaktadır. Retrospektif çalışmamızın amacı, klinik tecrübemizi okuyucularla paylaşmak ve literatür eşliğinde gelişen erken ve geç dönem komplikasyonları irdelemektir. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Mart 2006-Aralık 2009 tarihleri arasında Acıbadem Bursa Hastanesi Genel Cerrahi kliniğinde total implante edilebilir kalıcı subklavien port katater takılan 238 kanser hastasına ait klinik ve demografik veriler retrospektif olarak incelendi. Bu çalışmaya dahil edilen hastalara implante edilen port kataterler; bu konuda daha önceden deneyim kazanmış iki cerrah tarafından aynı teknikle yapıldı. B Bu ul lg gu ul la ar r: : Bir hastada pnömotoraks (% 0,42) dört hastada (%1,68) arter ponksiyonu görüldü. Üç olguda kateter migra...

show abstract

Section: Discussionmentioning

confidence: 54%

Subclavian Venous Port Catheter Implantation in General Surgery: 238 Cases From a Single Center

Güner¹,

Tümay²,

Zorluoğlu³

et al. 2013

Turkiye Klinikleri J Med Sci

View full text Add to dashboard Cite

show abstract

“…This rate of sepsis usually occurs in patients who are monitored long-term with central access compared with the 180-day evaluation period in this study. Other major complications such as venous thrombosis and catheter fracture are much less common, occurring at rates of 2.0% to 2.5% and 0.2%, respectively (7)(8)(9). The present study was not powered to detect significant differences in the aforementioned complications due to their low incidence.…”

Section: Discussionmentioning

confidence: 87%

A Randomized Trial of Valved Vs Nonvalved Implantable Ports for Vascular Access

Lamont

McCarty²,

Stephens³

et al. 2003

Baylor University Medical Center Proceedings

View full text Add to dashboard Cite

“…Several studies have documented the relative superiority of TIVADs over non-totally implanted devices [3][4][5][6] . Nevertheless, factors affecting device survival remain a major concern.…”

Section: Discussionmentioning

confidence: 99%

“…The principal advantages of these access ports are; no external dressing, lower infection rates than non-totally implantable devices and allowance of patients to perform normal physical activities. It is common practice to insert totally implantable venous access devices (TIVADs) in cancer patients beginning a course of chemotherapy to eliminate potential peripheral venous access problems [4,5] ; however, risk factors impacting the survival of TIVADs remain unclear. Accordingly, this retrospective cohort study analyzed the risk factors for failure of the TIVADs and compared adverse events among risk factors.…”

Section: Introductionmentioning

confidence: 99%

Analysis of risk factors for central venous port failure in cancer patients

Hsieh

Weng

Huang

et al. 2009

WJG

View full text Add to dashboard Cite

AIM:To analyze the risk factors for central port failure in cancer patients administered chemotherapy, using univariate and multivariate analyses. 1.079-2.083, P = 0.016) when correlated with variables of age, sex and catheter type. Close-ended (Groshong) catheters had a lower thrombosis rate than open-ended catheters (2.5% vs 5%, P = 0.015). METHODS:Hematogenous malignancy had higher infection rates than solid malignancy (10.5% vs 2.5%, P < 0.001). CONCLUSION:Increasing age, male gender, openended catheters and hematogenous malignancy were risk factors for TIVAD failure. Close-ended catheters had lower thrombosis rates and hematogenous malignancy had higher infection rates.

show abstract

Long-term, totally implantable central venous access ports connected to a Groshong atheter for chemotherapy of solid tumours: Experience from 178 cases using a single type of device

Cited by 104 publications

References 15 publications

Subclavian Venous Port Catheter Implantation in General Surgery: 238 Cases From a Single Center

Subclavian Venous Port Catheter Implantation in General Surgery: 238 Cases From a Single Center

A Randomized Trial of Valved Vs Nonvalved Implantable Ports for Vascular Access

Analysis of risk factors for central venous port failure in cancer patients

Contact Info

Product

Resources

About