Longterm central venous access in gynecologic cancer patients11No competing interests declared.

Minassian, Vatché A.; Sood, Anil K.; Lowe, Patrick; Sorosky, Joel I.; Al‐Jurf, Adel S.; Buller, Richard E.

doi:10.1016/s1072-7515(00)00690-6

Cited by 54 publications

(43 citation statements)

References 16 publications

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“…However, recent series in the literature show significant complication rates, with up to 2% incidence of pneumothorax, 14% cardiac arrhythmia, 3% arterial puncture, 3% bending of the guide wire, 3% kinking of the introductory sheath and 1% serious bleeding. 6,10,15 In our series, because we preferentially utilized dissection of the jugular veins (81.5% of the total), we did not observe such complications. Even in the cases in which puncturing was performed (18.4% of the total), the incidence of pneumothorax and serious bleeding was null.…”

Section: Resultsmentioning

confidence: 62%

“…[28][29][30] The prophylactic use of low doses of oral anticoagulant for diminishing the incidence of such complications is discussed in the literature. 10 In our sample, we encountered 14 cases of deep vein thrombosis (2.7%), but catheter removal was only necessary for three patients (0.57%), due to non-functioning of the catheter. We did not observe any cases of pulmonary thromboembolism, and for this reason we think that totally implantable catheters do not have to be removed indiscriminately, because of the inherent risk in such treatment, unless there is associated catheter obstruction.…”

Section: Discussionmentioning

confidence: 80%

“…Although dissection of the external jugular vein has been little used in other services, in which the preferred route is via puncture of the subclavian vein, 10 our route has proven to be suitable and also safer in relation to complications, considering that we did not have any cases of pneumothorax, hemothorax, arterial lesion or pinching of the catheter between the first costal arch and the clavicle.…”

Section: Resultsmentioning

confidence: 98%

“…[10][11][12] In addition to this, such devices foster improved quality of life for patients, with an absence of restrictions on their activities. 2 The increased indication of these devices reflects their acceptance in the day-by-day routine of oncology centers.…”

Section: Discussionmentioning

confidence: 99%

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Totally implantable venous catheters for chemotherapy: experience in 500 patients

et al. 2004

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CONTEXT: Totally implantable devices are increasingly being utilized for chemotherapy treatment of oncological patients, although few studies have been done in our environment to analyze the results obtained from the implantation and utilization of such catheters. OBJECTIVE: To study the results obtained from the implantation of totally implantable catheters in patients submitted to chemotherapy. TYPE OF STUDY: Prospective. SETTING: Hospital do Câncer A.C. Camargo, São Paulo, Brazil. METHODS: 519 totally implantable catheters were placed in 500 patients submitted to chemotherapy, with preference for the use of the right external jugular vein. Evaluations were made of the early and late-stage complications and patient evolution until removal of the device, death or the end of the treatment. RESULTS: The prospective analysis showed an average duration of 353 days for the catheters. There were 427 (82.2%) catheters with no complications. Among the early complications observed, there were 15 pathway hematomas, 8 cases of thrombophlebitis of the distal stump of the external jugular vein and one case of pocket infection. Among the late-stage complications observed, there were 43 infectious complications (0.23/1000 days of catheter use), 11 obstructions (0.06/1000 days of catheter use) and 14 cases of deep vein thrombosis (0.07/1000 days of catheter use). Removal of 101 catheters was performed: 35 due to complications and 66 upon terminating the treatment. A total of 240 patients died while the catheter was functioning and 178 patients are still making use of the catheter. CONCLUSION: The low rate of complications obtained in this study confirms the safety and convenience of the use of totally implantable accesses in patients undergoing prolonged chemotherapy regimes.

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Section: Resultsmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 80%

Section: Resultsmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

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Totally implantable venous catheters for chemotherapy: experience in 500 patients

et al. 2004

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“…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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Randomized clinical trial comparing venous cutdown with the Seldinger technique for placement of implantable venous access ports

Nocito

Wildi

Rufibach

et al. 2009

British Journal of Surgery

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Longterm central venous access in gynecologic cancer patients11No competing interests declared.

Cited by 54 publications

References 16 publications

Totally implantable venous catheters for chemotherapy: experience in 500 patients

Totally implantable venous catheters for chemotherapy: experience in 500 patients

Port catheter implantation under scopy in hybrid operation rooms

Randomized clinical trial comparing venous cutdown with the Seldinger technique for placement of implantable venous access ports

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