A Retrospective Clinical Study: Complications of Totally Implanted Central Venous Access Ports

Abstract

BackgroundWhen managing patients who require repeated venous access, gaining a viable intravenous route has been problematic. To improve the situation, various studies on techniques for venous access have been conducted. The aim of this study is to evaluate the clinical results of complications following totally implanted central venous access port (TICVAP) insertion.MethodsA retrospective analysis was conducted on 163 patients, from December 2008 to March 2013. The occurrence of complications was studied in three separate periods of catheter use: the intraoperative period, postoperative period, and period during the treatment.ResultsA total of 165 cases of TICVAP insertions involving 156 patients were included in the final analysis. There were 35 complications (21%) overall. Among these, 31 cases of complications (19%) occurred during the treatment period and the other 4 cases were intraoperative and postoperative complications (2%). There were no statistically significant differences in age and gender of the patients between the two groups to be risk factors (p=0.147, p=0.08). Past history of chemotherapy, initial laboratory findings, and the locations of TICVAP insertion also showed no statistical significance as risk factors (p>0.05).ConclusionBecause the majority of complications occurred after port placement and during treatment, meticulous care and management and appropriate education are necessary when using TICVAPs.

Insertion of Totally Implantable Central Venous Access Devices by Surgeons

“…In this study, complications occurred in 33 cases (8.3%), with none of the complications being fatal. This result is similar to data reported in other studies (5%-20%) [ 1 , 4 , 5 , 6 , 7 ] and is an acceptable complication rate.…”

Performance of Venous Port Catheter Insertion by a General Surgeon: A Prospective Study

“…Severe arrhythmia, 1 embolism, 2 venous thrombosis, extravasation of fluids, 4 cardiac perforation, 10 arteriovenous fistula, 13 left thoracic ductus lesion, 21,22 phrenic or brachial plexus lesion, 23 and hematoma 24,25 in port pocket have been rarely reported in venous port catheter implantations. Life-threatening major complications were not seen in our case series containing 122 cases.…”

Revisión sistemática de las complicaciones de los dispositivos de administración de tratamiento al paciente oncológico

“…Las infecciones son las complicaciones más frecuentes de los Port-A-Cath, como han demostrado algunos estudios observacionales de pacientes con este tipo de dispositivo implantado (7,9,10,11,12,13,14) . Los pacientes oncológicos son más propensos a ellas que otro tipo de paciente debido a su inmunosupresión (15) .…”

“…En cuatro estudios sobre este dispositivo, solo había un caso de esta complicación en cada uno (6,12,14,21) . La ruptura del reservorio es dolorosa y crea un hematoma (29) ; en cuanto a la membrana, su rotura es muy poco probable, ya que esta puede ser puncionada alrededor de mil veces sin ser dañada (28) .…”

“…La incorrecta punción de la aguja suele ser la causa más frecuente de extravasación en los Port-A-Cath, como los 3 casos ocurridos en el estudio retrospectivo de Seok JP et al (12) . Por otro lado, un estudio de 607 CCIP registra una incidencia de extravasación del 1,3% (35) .…”