Percutaneous image-guided implantation of totally implantable venous access ports in the forearm or the chest? A patients’ point of view

Goltz, Jan Peter; Petritsch, Bernhard; Kirchner, Johannes; Hahn, Dietbert; Kickuth, Ralph

doi:10.1007/s00520-012-1544-2

Cited by 29 publications

(54 citation statements)

References 16 publications

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“…Table 2 shows the satisfaction questionnaire results with the brachial port for the 35 patients in the study compared with the findings of Goltz et al 8 Of the 35 patients interviewed, 33 (94.3%; p=0.22) would recommend the device to others. In almost all cases (97.1%), the patients were satisfied with the type of anesthesia used and reported no discomfort during the implantation procedure.…”

Section: Resultsmentioning

confidence: 93%

“…A satisfaction questionnaire already used and validated in previous publications 8 was applied in the second evaluation, after 30 days of implantation. From the patients’ perspective, this questionnaire analyzes data involving recognition of the need for the device; aspects of comfort; anxieties generated by the use of the device; interference in daily activities; aesthetics and overall satisfaction based on the recommendation grade indicated by the patient.…”

Section: Methodsmentioning

confidence: 99%

“…The results of the questionnaire were compared to the findings available in the study presented by Goltz et al 8 for brachial ports, using the same analysis tool.…”

Section: Methodsmentioning

confidence: 99%

“…Comparisons of our questionnaire results and the findings of Goltz et al 8 were performed using χ 2 frequency test or Fisher’s exact test. When p>0.05, we considered the results (frequencies) of the study consistent with the findings already published.…”

Section: Methodsmentioning

confidence: 99%

“…We had no comparative data in the study presented by Goltz et al 8 for three questions in the questionnaire: one related to the indication of the device and two associated with the implantation and with comfort aspects. This occurred because these parameters were not evaluated by the authors 30 days after the procedure, but only immediately after implantation.…”

Section: Methodsmentioning

confidence: 99%

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Brachial insertion of fully implantable venous catheters for chemotherapy: complications and quality of life assessment in 35 patients

Fonseca¹,

Krutman²,

Nishinari³

et al. 2016

Einstein (São Paulo)

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Objective To prospectively evaluate the perioperative safety, early complications and satisfaction of patients who underwent the implantation of central catheters peripherally inserted via basilic vein.Methods Thirty-five consecutive patients with active oncologic disease requiring chemotherapy were prospectively followed up after undergoing peripheral implantation of indwelling venous catheters, between November 2013 and June 2014. The procedures were performed in the operating room by the same team of three vascular surgeons. The primary endpoints assessed were early postoperative complications, occurring within 30 days after implantation. The evaluation of patient satisfaction was based on a specific questionnaire used in previous studies.Results In all cases, ultrasound-guided puncture of the basilic vein was feasible and the procedure successfully completed. Early complications included one case of basilic vein thrombophlebitis and one case of pocket infection that did not require device removal. Out of 35 patients interviewed, 33 (94.3%) would recommend the device to other patients.Conclusion Implanting brachial ports is a feasible option, with low intraoperative risk and similar rates of early postoperative complications when compared to the existing data of the conventional technique. The patients studied were satisfied with the device and would recommend the procedure to others.

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Section: Resultsmentioning

confidence: 93%

Section: Methodsmentioning

confidence: 99%

“…The results of the questionnaire were compared to the findings available in the study presented by Goltz et al 8 for brachial ports, using the same analysis tool.…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Brachial insertion of fully implantable venous catheters for chemotherapy: complications and quality of life assessment in 35 patients

Fonseca¹,

Krutman²,

Nishinari³

et al. 2016

Einstein (São Paulo)

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Percutaneous implantation of peripherally inserted totally implantable venous access systems in the forearm in adolescent patients

et al. 2022

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Background Children with different underlying malignant diseases require long-term central venous access. As for port systems in a pectoral position, peripherally implanted port systems in the forearm revealed high levels of technical and clinical success in adult cohorts. Objective To investigate the technical and clinical outcomes of percutaneous central venous port implantation in the forearm in adolescents. Materials and methods Between April 2010 and August 2020, 32 children ages 9 to 17 years with underlying malignancy received 35 totally implantable venous access ports (TIVAPs) in the forearm. All venous port systems were peripherally inserted under ultrasound guidance. Correct catheter placement was controlled by fluoroscopy. As primary endpoints, the technical success, rate of complications and catheter maintenance were analyzed. Secondary endpoints were the side of implantation, vein of catheter access, laboratory results on the day of the procedure, procedural radiation exposure, amount of contrast agent and reasons for port device removal. Results Percutaneous TIVAP placement under sonographic guidance was technically successful in 34 of 35 procedures (97.1%). Procedure-related complications did not occur. During the follow-up, 13,684 catheter days were analyzed, revealing 11 complications (0.8 per 1,000 catheter-duration days), Of these 11 complications, 7 were major and 10 occurred late. In seven cases, the port device had to be removed; removal-related complications did not occur. Conclusion Peripheral TIVAP placement in the forearms of children is a feasible, effective and safe technique with good midterm outcome. As results are comparable with standard access routes, this technique may be offered as an alternative when intermittent venous access is required.

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Long-term Outcome of Peripherally Implanted Venous Access Ports in the Forearm in Female Cancer Patients

Klösges

Meyer

Boschewitz

et al. 2014

Cardiovasc Intervent Radiol

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Percutaneous image-guided implantation of totally implantable venous access ports in the forearm or the chest? A patients’ point of view

Abstract: During certain activities, the FP device seems to be favorable, since it causes less discomfort than the CP.

Cited by 29 publications

References 16 publications

Brachial insertion of fully implantable venous catheters for chemotherapy: complications and quality of life assessment in 35 patients

Brachial insertion of fully implantable venous catheters for chemotherapy: complications and quality of life assessment in 35 patients

Percutaneous implantation of peripherally inserted totally implantable venous access systems in the forearm in adolescent patients

Long-term Outcome of Peripherally Implanted Venous Access Ports in the Forearm in Female Cancer Patients

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