The mechanisms of failure of totally implantable central venous access system: Analysis of 73 cases with fracture of catheter

Lin, Chih-Peng; Wu, Ho Sheng; Chan, De-Chuan; Hsieh, CB; Huang, Min-Ho; Yu, Jiang

doi:10.1016/j.ejso.2009.07.011

Cited by 59 publications

(59 citation statements)

References 7 publications

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“…On the contrary the left internal jugular vein has an angle between the brachiocephalic vein and superior vena cava. The subclavian veins are exposed to an increased risk of pneumothorax (0.1 to 3.2%), thrombosis [13][14][15][16] and "pinch off syndrome", a chronic compression of the central venous catheter between the clavicle and the first rib, with consequent mechanic obstruction or transection/embolization of a distal fragment of it [17][18][19]. There is no general agreement on antibiotic prophylaxis.…”

Section: Discussionmentioning

confidence: 99%

Totally implantable central venous access devices: results of a mono-centre series of 1610 port implantations performed under ultrasound and fluoroscopic guidance

et al. 2012

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Background: A mono-centre series of 1610 percutaneous port implantations is evaluated.Methods: From 2005 to 2011 1610 ports were implanted in 1575 patients at the Oncologic Surgical Department of "San Martino" Hospital in Genoa, Italy, in the operating rooms of the Interventional Radiology, using local anesthesia and the Seldinger's percutaneous technique. The right internal jugular vein was the access of first choice. All the cases were performed under ultrasound and fluoroscopic guidance.Results: The success rate was 99.8%. No early major complications were observed. Late major complications were observed: 22 (1.4%) bloodstream infections and 21 (1.3%) pocket or tunnel infections with an overall portrelated major infection rate of 2.7%. The other late complications were 18 skin necroses and erosions (1.1%), 5 secondary malpositions (0.3%), and 10 vein thromboses (0.6%).Conclusions: In the percutaneous technique, there is a general agreement on the right internal jugular vein, as first choice. The ultrasonography and fluoroscopy, performed during the procedure, help to reduce up to eliminate the early major complications.

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Section: Discussionmentioning

confidence: 99%

Totally implantable central venous access devices: results of a mono-centre series of 1610 port implantations performed under ultrasound and fluoroscopic guidance

et al. 2012

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“…Port-A-Cath insertion is often performed via the subclavian vein (SCV). A number of studies have examined the complications associated with SCV catheterization and the use of port systems [1,2,3,4,5,6]; however, few studies to date have compared surgical and postoperative complications of right- versus left--SCV Port-A-Cath system insertion.…”

Section: Introductionmentioning

confidence: 99%

Right- and Left-Subclavian Vein Port-A-Cath Systems: Comparison of Complications

Tsai

Ku²,

Chen³

et al. 2012

Eur Surg Res

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Background: Central venous access systems are frequently used for delivery of medications; however, few studies have compared surgical and postoperative complications of right versus left access via the subclavian vein (SCV). The aim of this study was to compare the surgical and postoperative complications associated with Port-A-Cath system insertion via the right and left SCV. Methods: The medical records of patients who received Port-A-Cath insertion via the SCV for parenteral chemotherapy between August 2004 and July 2008 were reviewed. The incidence of surgical and postoperative complications was compared between patients who received right- versus left-SCV Port-A-Cath insertion. Results: A total of 1,848 patients were included in the study. Right-SCV catheterization was attempted in 1,029 (55.7%) patients and was successful in 866 (84.2%). Left-SCV catheterization was attempted in 819 (44.3%) patients and was successful in 651 (79.5%). The mean length of postoperative follow-up was 417.3 ± 401.3 and 396.7 ± 379.9 days for the right- and left-SCV groups, respectively. The incidence of SCV puncture failure was significantly lower in the right-SCV group (12.3%) compared with the left-SCV group (16.8%, p = 0.006). The incidence of catheter knotting at the ipsilateral brachiocephalic vein was also significantly lower in the right-SCV group (0.0%) compared with the left-SCV group (0.5%, p = 0.038), as was the incidence of catheter occlusion (1.0% for right SCV vs. 3.5% for left SCV, p = 0.001). Conclusion: These findings suggest that the right-SCV approach is superior to the left-SCV approach for Port-A-Cath insertion.

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“…Lin ve ark. 3 yıllık dönemde yerleştirdikleri 3358 port kateterden 73'ünde kateter fraktürü geliştiğini belirtmişlerdir (13). Lin ve ark'nın serilerine göre bizim serimizdeki hasta sayısı az olmasına rağmen çalışmamızda 'pinch off' sendromu ve ona bağlı olumsuz sonuçlar gözlenmedi.…”

Section: Discussionunclassified

Venoz Port Katater Implantasyonu: 130 Olguluk Genel Cerrahi Deneyimi

2017

GMJ

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The mechanisms of failure of totally implantable central venous access system: Analysis of 73 cases with fracture of catheter

Cited by 59 publications

References 7 publications

Totally implantable central venous access devices: results of a mono-centre series of 1610 port implantations performed under ultrasound and fluoroscopic guidance

Totally implantable central venous access devices: results of a mono-centre series of 1610 port implantations performed under ultrasound and fluoroscopic guidance

Right- and Left-Subclavian Vein Port-A-Cath Systems: Comparison of Complications

Venoz Port Katater Implantasyonu: 130 Olguluk Genel Cerrahi Deneyimi

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