Randomized Clinical Trial Comparing Ultrasound-Guided Procedure with the Seldinger’s Technique for Placement of Implantable Venous Ports

Abstract

The aim of this randomized controlled study was to compare ultrasound-guided procedure with the Seldinger's technique for placement of implantable venous ports. A total of 214 patients were randomized to receive TIAP placement by either ultrasound-guided procedure or the Seldinger's technique. Complications and pain perception were compared between these two groups. No severe perioperative or periinterventional complication occurred. Significantly (P < 0.05) lower pain perception was observed in the ultrasound-guided group. Seldinger's technique group showed higher rate in incidence of early and late complications including catheter dislocation, catheter occlusion, venous thrombosis, fever of unknown origin, skin necrosis, and sepsis. In conclusion, both techniques, the TIAP implantation via ultrasound-guided jugular vein puncture and via Seldinger's technique subclavian vein puncture, are feasible and safe. Regarding intrainterventional pain perception and implantation-related complications, the jugular vein puncture under ultrasound guidance seems to be advantageous.

Internal jugular vein versus subclavian vein as the percutaneous insertion site for totally implantable venous access devices: a meta-analysis of comparative studies

“…Seven studies [ 15 , 17 , 18 , 23 , 31 , 38 , 41 ] that reported on catheter dislocation in 2463 patients showed a significant difference favoring the IJV group (1.08 % in the IJV group and 2.54 % in the SCV group; OR 0.43, 95 % CI 0.22–0.84; P = 0.013) (Fig. 3b ).…”

“…Agreement on study selection between the two reviewers was high (k = 0.94). Among the included studies, there were three RCTs [ 16 , 39 , 41 ] and two prospective non-randomized controlled trials [ 15 , 31 ]. The remaining seven studies [ 17 , 18 , 21 , 23 , 38 , 40 , 42 ] were retrospective.…”

“…The risk of bias of the RCTs included in this meta-analysis is summarized in Table 3 . Of the three RCTs, two [ 16 , 39 ] were considered to have low risk of bias, and one [ 41 ] had a moderate risk of bias. Among the nine nonrandomized studies, seven [ 15 , 17 , 18 , 21 , 23 , 40 , 42 ] were considered to be of high quality, and two [ 31 , 38 ] were regarded as being of low quality (Table 4 ).…”

“…Sixth, because the raw data of the included studies were not available and both arms were comparable in terms of the follow-up period in each study, the results of the analysis did not take into account of the number of catheter days. However, as the cumulative risk of infectious, thrombotic, and mechanical complications increased with increasing catheter exposure, the complications might have been underestimated due to the relatively short follow-up period in some studies [ 31 , 41 ].…”

Colorimetric and Fluorescent Bimodal Ratiometric Probes for pH Sensing of Living Cells

“…More and more pH‐sensitive materials and techniques have been developed for pH sensing . In these, optical methods have received particular attention owing to highly sensitive, noninvasive, disposable, easily miniaturized and high throughput properties .…”