Catastrophic hemothorax on the contralateral side of the insertion of an implantable subclavian venous access device and the ipsilateral side of the removal of the infected port -A case report-

Lee, Ji-Heui; Kim, Young Bae; Lee, Min Kee; Kim, Jong‐Il; Lee, Ji-Yeon; Lee, So Young; Lee, Eun‐Ju; Lee, Yong Seock

doi:10.4097/kjae.2010.59.3.214

Cited by 11 publications

(6 citation statements)

References 10 publications

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“…First, central venous access was introduced through the percutaneous puncture of the subclavian vein, 6 which was initially used as the primary technique for intravenous port implantation. However, a variety of serious complications have been reported in previous studies regarding this method, including pinch-off syndrome, 7 – 9 catheter fracture, 10 – 12 pneumothorax, 8 , 12 , 13 iatrogenic arterial puncture, 8 , 13 , 14 hemothorax, 15 and central vein stenosis. 16 To prevent fatal complications, the internal jugular vein was proposed as a viable alternative due to its large caliber and superficial location.…”

Section: Introductionmentioning

confidence: 99%

The Treatment Results of a Standard Algorithm for Choosing the Best Entry Vessel for Intravenous Port Implantation

Wei

et al. 2015

Medicine

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Vascular cutdown and echo guide puncture methods have its own limitations under certain conditions. There was no available algorithm for choosing entry vessel. A standard algorithm was introduced to help choose the entry vessel location according to our clinical experience and review of the literature. The goal of this study is to analyze the treatment results of the standard algorithm used to choose the entry vessel for intravenous port implantation.During the period between March 2012 and March 2013, 507 patients who received intravenous port implantation due to advanced chemotherapy were included into this study. Choice of entry vessel was according to standard algorithm. All clinical characteristic factors were collected and complication rate and incidence were further analyzed.Compared with our clinical experience in 2006, procedure-related complication rate declined from 1.09% to 0.4%, whereas the late complication rate decreased from 19.97% to 3.55%. No more pneumothorax, hematoma, catheter kinking, fractures, and pocket erosion were identified after using the standard algorithm. In alive oncology patients, 98% implanted port could serve a functional vascular access to fit therapeutic needs.This standard algorithm for choosing the best entry vessel is a simple guideline that is easy to follow. The algorithm has excellent efficiency and can minimize complication rates and incidence.

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Section: Introductionmentioning

confidence: 99%

The Treatment Results of a Standard Algorithm for Choosing the Best Entry Vessel for Intravenous Port Implantation

Wei

et al. 2015

Medicine

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“…Although the ultrasound-guided central venous access technique is indicated for children, 10 small children may be at higher risk of catastrophic and fatal complications than adults. 11 We inserted catheters using the cut-down technique in all of the BSI, and, of these, 20% of the catheters were advanced with difficulty. We were able, however, to insert all catheters in the central veins without fatal complications.…”

Section: Discussionmentioning

confidence: 99%

“…Catheterization is often difficult in BSI because of their thin veins. Although the ultrasound‐guided central venous access technique is indicated for children, small children may be at higher risk of catastrophic and fatal complications than adults . We inserted catheters using the cut‐down technique in all of the BSI, and, of these, 20% of the catheters were advanced with difficulty.…”

Section: Discussionmentioning

confidence: 99%

Implantable central venous access device in infants: Long‐term results

Ohno

Nakaoka

Takama

et al. 2016

Pediatrics International

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“…Although the technical aspect of TIVAD placement has become much safer than before due to the use of image-guided navigation, like venous ultrasonography or venography, however, the risk of complications by mispuncture still remains. In particular, arterial bleeding from the subclavian artery by misdirected punctures can develop into very serious problems since this artery is located beneath the clavicle and vessel hemostasis is very difficult to re-establish [11].…”

Section: Discussionmentioning

confidence: 99%

Safety and Feasibility of the Venous Access via Internal Jugular Vein Puncture Approach for Totally Implantable Venous Access Device Placements Compared with Subclavian Vein Puncture

Koketsu¹,

Sameshima²,

Kubota³

et al. 2013

JCT

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Background: The aim of this study was to evaluate the safety and feasibility of venous access via the internal jugular vein (IJV) for totally implantable venous access device (TIVAD) placements. In Japan, TIVADs are generally placed in position by the percutaneous subclavian vein puncture approach (SVPA). However, this approach causes infrequent intraoperative or postoperative complications. Using the internal jugular vein puncture approach (IJVPA), TIVADs could be placed more easily and safely. Materials and Methods: Fifty-six patients who received TIVADs for chemotherapy of colorectal carcinomas were enrolled in this study. The choice of approach (IJVPA or SVPA) was adopted at the discretion of each doctor in charge of the patient. The operation time, success rate and complications of the two approaches were compared and evaluated. Results: TIVAD placement was successful in all patients. Thirty patients received the device via IJV puncture, but 1 patient required conversion to SVPA. Twenty-six patients underwent SVPA for device placement, but 3 of these patients required conversion to IJVPA. Mean operation time was 34.3 min in IJVPA and 35.2 min in SVPA. The success rate was 96.6% in IJVPA and 88.5% in SVPA. No severe perioperative complications were observed. However, long-term complications were observed in five cases, 3 by IJVPA and 2 by SVPA, but no significant difference in the rate of complications was observed between these two approaches. A catheter-related thrombosis was found by CT scan in 3 patients, two of whom underwent IJVPA (6.7%) and one case underwent SVPA (3.8%). Two patients received simultaneous administration of bevacizumab. Catheter infections occurred in 1 patient who underwent IJVPA (3.3%) and 1 patient who underwent SVPA (3.8%). Conclusions: The IJVPA is a safe and feasible method for TIVAD placement.

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Catastrophic hemothorax on the contralateral side of the insertion of an implantable subclavian venous access device and the ipsilateral side of the removal of the infected port -A case report-

Cited by 11 publications

References 10 publications

The Treatment Results of a Standard Algorithm for Choosing the Best Entry Vessel for Intravenous Port Implantation

The Treatment Results of a Standard Algorithm for Choosing the Best Entry Vessel for Intravenous Port Implantation

Implantable central venous access device in infants: Long‐term results

Safety and Feasibility of the Venous Access via Internal Jugular Vein Puncture Approach for Totally Implantable Venous Access Device Placements Compared with Subclavian Vein Puncture

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