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

Abstract

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.

Totally implantable venous access port systems and risk factors for complications: A one-year prospective study in a cancer centre

“…As in other studies, [7,9,11,13,14] the main complication observed in our study was infection, occurring in 5.3% of patients and accounting for half the total number of premature device removals.…”

“…Patient satisfaction was also greater with cephalic vein catheterisation, with regard to both the esthetic appearance of the incision scar and visibility of the catheter. The results of previous studies vary, showing either an effect [10] or no effect [5,6,11] of the vein accessed on complication rates, but the veins compared differ from one study to another.…”

“…In our study, the vein catheterised was predominantly either the external jugular vein or the cephalic vein, these veins similarly being the principal site of TIVAPS insertion in the studies reported by Wolosker et al [13] and Hsieh et al [11], respectively. The overall complication rate did not differ significantly according to the vein accessed.…”

“…Cancer patients have an intrinsically high risk of venous thrombosis, related to both the disease process itself and certain cancer treatments, [8] this risk being further increased by placement of a catheter or TIVAPS. [1] Several studies in cancer patients have investigated potential risk factors for TIVAPS-related complications, including the vein accessed [5,9,10] and patient age and gender [11,12], with somewhat conflicting results. Yildizeli analysis of paediatric patients, showed a higher risk of infection after TIVAPS implantation in younger patients.…”

Totally Implantable Central Venous Port Catheters: Radiation Exposure as a Function of Puncture Site and Operator Experience

“…Landmark-mark based punctures of the subclavian vein in particular were associated with increased rates of pneumothorax (11,(13)(14)(15)(16)(17). In addition, infection rates were lower for ultrasound-guided approaches with the Seldinger technique (1.1-8.8%) (3,11,13,18,19) compared with surgical cut-down (0.8-16.3%) (10,(20)(21)(22)(23)(24)(25). Moreover, the radiological technique does not require general anesthesia and is cost effective (26).…”