Indwelling experience and coping strategies of upper arm infusion ports in patients with cancer: a qualitative study

Wang, Yawen; Wang, Xiyi; Qiu, Xiaoxia

doi:10.1136/bmjopen-2022-069772

Cited by 2 publications

References 38 publications

(56 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

Prediction of internal jugular vein catheter length inserted through the posterior approach of the sternocleidomastoid muscle

Chen,

Zhang,

Zhang

et al. 2024

Medicine

View full text Add to dashboard Cite

This study aimed to determine an equation to estimate the optimal insertion length for catheter placement via the posterior approach of the sternocleidomastoid muscle in cancer patients. This retrospective study included patients with cancer who underwent infusion port implantation surgery in the Oncology Department of the 900th Hospital of Joint Logistic Support Force of the Chinese People Liberation Army from April 2017 to September 2023. Patient height (H), weight (W), chest length (C), and length of the internal jugular vein catheter (L) were collected from medical records. The patients were randomized 7:3 to the training and validation sets. Linear regression analyses were used in the training set to determine formulas to predict catheter length. The formula predictive value was analyzed using the Bland-Altman method in the validation set. This study included 336 patients, with a mean age of 58.27 ± 11.70 years, randomized in the training (n = 235) and validation (n = 101) sets. Linear regression analysis revealed that the equations for catheter length relative to H, body mass index (BMI), and C are L = 0.144 × H - 8.258 (R² = 0.608, P < .001), L = −0.103 × B + 17.384 (R² = 0.055, P < .001), and L = 0.477 × C + 1.769 (R² = 0.342, P < .001), respectively. The multivariable linear regression analysis showed that the equation between the length of the catheter and H and C was L = 0.131 × H + 0.086 × C-8.515 (R² = 0.614, P < .001). The Bland-Altman analysis in the validation set showed that the predicted values of internal jugular vein catheter length and the actual values showed good agreement. The optimal L might be determined by simple formulas based on patients H and C.

show abstract

Prediction of internal jugular vein catheter length inserted through the posterior approach of the sternocleidomastoid muscle

Chen,

Zhang,

Zhang

et al. 2024

Medicine

View full text Add to dashboard Cite

show abstract

Outcomes and complications of single-longitudinal incision technique for totally implantable venous access ports in the upper arm

Meng,

Liao,

Jiang

et al. 2024

Preprint

View full text Add to dashboard Cite

Purpose This study aims to assess the technical feasibility and safety of single-longitudinal incision technique for totally implantable venous access ports (TIVAPs) in the upper arm. Materials and Methods The medical records of all patients who underwent image-guided implantation of TIVAPs adopting single-longitudinal incision technique in the upper arm were retrospectively reviewed at Shanghai Changzheng Hospital between 1 June 2017 and 30 December 2023. The success rates, technical difficulties, procedure times, and immediate and delayed complications of the procedure were evaluated. Results A total of 123 patients underwent image-guided implantation of TIVAPs in the upper arm, including 59 men and 64 women with a mean age of 58.86 ± 12.88 years. This study included a total of 62376 TIVAPs catheter-days (median 507 catheter-days, range: 9–1660 catheter-days). No TIVAP-related mortality was observed throughout the study. Technical success was achieved in all patients, with 96 using the basilic vein and 27 using the brachial vein. The mean fluoroscopy time was 12.3 ± 13.4 seconds, and the mean procedure time was 15.4 ± 2.9 minutes. A total of 17 (13.8%) patients developed complications, among which 9 (7.3%) had subcutaneous ecchymosis, 5 (4.1%, 0.008/1000 catheter-days) developed infections, 2 (1.6%, 0.003/1000 catheter-days) experienced catheter occlusion, and 1 (0.8%, 0.002/1000 catheter-days) had thrombosis. The TIVAPs were removed in 31 cases and still in use in the remaining 69 cases. Conclusions The single-longitudinal incision technique is feasible and safe for implanting TIVAP in the upper arm, which is an alternative approach to traditional port implantation.

show abstract

Indwelling experience and coping strategies of upper arm infusion ports in patients with cancer: a qualitative study

Cited by 2 publications

References 38 publications

Prediction of internal jugular vein catheter length inserted through the posterior approach of the sternocleidomastoid muscle

Prediction of internal jugular vein catheter length inserted through the posterior approach of the sternocleidomastoid muscle

Outcomes and complications of single-longitudinal incision technique for totally implantable venous access ports in the upper arm

Contact Info

Product

Resources

About