Totally implantable venous-access ports: local problems and extravasation injury

Kurul, Sidika; Saip, Pınar; Aydın, Tülay Aytekin

doi:10.1016/s1470-2045(02)00905-1

Cited by 187 publications

(166 citation statements)

References 53 publications

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“…3). Although comparisons between patient groups are difficult, the 0.78 % incidence of catheter embolization seen in our study is consistent with the fracture and embolization rate of 0.1 to 2.1 % reported in other series [16,17]. Similar to patients described in other studies, our patient was asymptomatic after catheter fracture, and embolization.…”

Section: Discussionsupporting

confidence: 92%

Totally Implantable Venous Access Devices in Children Requiring Long-Term Chemotherapy: Analysis of Outcome in 122 Children from a Single Institution.

Shankar

Jadhav

Ravindra

et al. 2016

Indian J Surg Oncol

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Children with malignancy require venous access that is reliable, safe and compliant on a long-term basis. There is little data available on utilization of totally implantable venous access devices (TIVAD) for long term chemotherapy in children in an Indian setting [1]. We report our long-term follow-up results of utilization of totally implantable venous access devices for long-term chemotherapy in children. This was a retrospective analysis of 122 children requiring longterm chemotherapy done between January 2008 and December 2013. Data collected included primary disease process, type of port, site of insertion, intraoperative events, early and late postoperative complications, and issues with utilization, maintenance and removal. 127 ports were placed in 122 children. The follow up ranged from 16 to 50 months. Internal jugular vein was accessed in 96.8 % of cases (123/127). Majority of children (61 %) had hematological malignancy. Early complications occurred in 5 children. Late complications occurred in 18 children which included port pocket infection in 3, port site skin issues in 5, catheter related issues in 3, venous thrombosis in 2 and catheter related bacteremia in 5 children respectively. Only 10 children have been lost to follow-up either due to death or discontinuation of treatment and rest are on follow up. Totally implantable venous access devices usage is safe and reliable for access needs in children for longterm chemotherapy. Their low complication and low cost maintenance should increase their utilization in children requiring long-term chemotherapy. Chemoport placement in children with hematological malignancy can be carried out safely without much impact on complication rates. Though management and compliance of children with malignancy has improved; critical analysis and standardization of port system care through prospective trials are necessary to reduce the morbidity and for cost analysis in these children.

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Section: Discussionsupporting

confidence: 92%

Totally Implantable Venous Access Devices in Children Requiring Long-Term Chemotherapy: Analysis of Outcome in 122 Children from a Single Institution.

Shankar

Jadhav

Ravindra

et al. 2016

Indian J Surg Oncol

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“…The reservoir was placed always at the same place under the clavicle for both groups; a subcutaneous pouch was made to accommodate the reservoir, and leave about 2 cm of catheter under the clavicle. In order to correctly position the tip of the catheter and diagnose early complications, radioscopy was routinely performed in all patients [4,[23][24][25].…”

Section: Methodsmentioning

confidence: 99%

“…Since there are no external components, they are less visible and more easily accepted by patients: They cause no restrictions on daily activities; local care is easier; the risk of infection [1][2][3] and thrombosis [4] is lower, they are less costly; and they can be kept in place for longer periods of times. For these reasons, TIVADs have been commonly used in oncological patients, both adults and children.…”

Section: Introductionmentioning

confidence: 99%

“…When the puncture technique is used, the internal jugular vein, subclavian vein, or femoral vein may be chosen [4][5][6][7][8][9]. While some authors have used the puncture technique either in the internal jugular vein or subclavian vein [4,10,11], others have preferably performed the puncture in the subclavian vein in both adult and pediatric patients [5,6,10,12,13].…”

Section: Introductionmentioning

confidence: 99%

“…While some authors have used the puncture technique either in the internal jugular vein or subclavian vein [4,10,11], others have preferably performed the puncture in the subclavian vein in both adult and pediatric patients [5,6,10,12,13].…”

Section: Introductionmentioning

confidence: 99%

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Long‐term complications in totally implantable venous access devices: Randomized study comparing subclavian and internal jugular vein puncture

Ribeiro

Abib

Aguiar

et al. 2011

Pediatric Blood & Cancer

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BackgroundThis prospective randomized study evaluated complications related to long‐term totally implantable catheters in oncologic children and adolescents by comparing venopunction performed either in the jugular or subclavian vein.MethodsA total of 83 catheters were implanted from January 2004 to April 2006 and followed‐up until March 2008. Patients were randomly allocated to the subclavian or jugular vein group. The endpoint was complications that led to catheter revision or catheter removal.ResultsSix patients were excluded, 43 had the catheter implanted in the subclavian and 34 in the jugular vein. Subclavian catheters were used for up to 12.6 months, while jugular catheters were kept in place for up to 14.8 months (P = 0.38). No statistical differences were found between the groups concerning age, sex, leukocyte count, platelet count, type of admission (in or outpatient), or previous chemotherapy regimens. When analyzed individually, long‐term complications did not present statistically significant differences either. Infection occurred in 20 and 11% (P = 0.44), while catheter embolism took place in 23 and 8% (P = 0.11) of patients with subclavian and jugular catheters, respectively. A statistical difference was seen in the total number of complications, which occurred in 48 and 23% (P = 0.02) of patients in the subclavian and in the jugular groups, respectively.ConclusionsCatheters implanted by puncture in the subclavian vein were more prone to late complications than those implanted in the jugular vein. Pediatr Blood Cancer 2012; 58: 274–277. © 2011 Wiley Periodicals, Inc.

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Randomized clinical trial comparing venous cutdown with the Seldinger technique for placement of implantable venous access ports

Nocito

Wildi

Rufibach

et al. 2009

British Journal of Surgery

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Totally implantable venous-access ports: local problems and extravasation injury

Cited by 187 publications

References 53 publications

Totally Implantable Venous Access Devices in Children Requiring Long-Term Chemotherapy: Analysis of Outcome in 122 Children from a Single Institution.

Totally Implantable Venous Access Devices in Children Requiring Long-Term Chemotherapy: Analysis of Outcome in 122 Children from a Single Institution.

Long‐term complications in totally implantable venous access devices: Randomized study comparing subclavian and internal jugular vein puncture

Randomized clinical trial comparing venous cutdown with the Seldinger technique for placement of implantable venous access ports

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