Ultrasound‐guided totally implantable venous access device through the right innominate vein in older patients is safe and reliable

Sun, Xingwei; Zhang, Yu; Yang, Changqing; Zhou, Yuhao; Bai, Xuming; Zheng, Weiwei; Jin, Yong

doi:10.1111/ggi.13611

Cited by 5 publications

(9 citation statements)

References 23 publications

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“…The post-procedure complication rates were lower than TIVAD insertion into the SCV. 32 Similar results were found by Sun et al 33,34 in two studies, one in cancer patients, 33 and the other in older patients (mean age of 75). 34 In these two studies, involving a total of 338 patients, the incidence of arterial puncture was lower than in TIVAD insertion into the SCV.…”

Section: Totally Implantable Venous Access Devicessupporting

confidence: 80%

Review article: Feasibility of brachiocephalic vein central venous access for the resuscitation of shocked adult trauma patients: A literature review

Green,

Kim,

Hendel

et al. 2023

Emerg Medicine Australasia

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Venous access is a key component of managing haemorrhagic shock. Obtaining intravenous access in trauma patients is challenging due to circulatory collapse in shock. This literature review examines the feasibility of direct puncture and cannulation of the brachiocephalic veins (BCVs) for intravenous access in shocked adult trauma patients. Three literature searches were conducted. OVID Medline was searched for articles on the use of the BCVs for venous access in adults and on the BCVs in shock. A third systematic search of OVID Medline, OVID Embase and Cochrane Library was conducted on the use of the BCVs for access in shocked trauma patients. After full‐text review, 18 studies were selected for inclusion for the search on the use of the BCVs for access in adults. No studies met the inclusion criteria for the search on the BCVs in shock and BCV access in shocked trauma patients. The BCVs are currently used for central venous access, haemodialysis and totally implantable venous access devices (TIVADs) in adults. There is a preference for the right BCV (RBCV) over the left as the RBCV is more superficial, straighter, larger, has less anatomical variation and avoids the risk of thoracic duct puncture. The BCVs appear to be stabilised in shock by surrounding bony structures. The BCVs may provide a site for initial, rapid access in trauma resuscitation. Further research is required to determine if the BCVs collapse in shock and if venous access using the BCVs is feasible in a trauma resuscitation setting.

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Section: Totally Implantable Venous Access Devicessupporting

confidence: 80%

Review article: Feasibility of brachiocephalic vein central venous access for the resuscitation of shocked adult trauma patients: A literature review

Green,

Kim,

Hendel

et al. 2023

Emerg Medicine Australasia

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“…In this study, we chosed to puncture the right INV to avoid lymphatic leakage caused by thoracic duct injury, as reported in our previous study [10, 11]. .But in Beccaria’s study [9], 78 patients with left INV catheterization did not have thoracic duct injury.…”

Section: Discussionmentioning

confidence: 99%

“…In the previous research, we introduced the safety and feasibility of US-guided TIVADs via the right INV approach [10, 11]. In this study, a total of 619 cases managed by US-guided TIVADs through the right INV or right IJV approach in our department were retrospectively compared and analyzed consecutively.…”

Section: Introductionmentioning

confidence: 99%

Comparison between ultrasound-guided TIVAD via the right innominate vein and the right internal jugular vein approach

et al. 2019

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BackgroundTo compare the efficacy and safety of right internal jugular vein (IJV) approach and right innominate vein (INV) approach for US-guided totally implantable venous access devices (TIVADs), and to explore the advantages and disadvantages of the two approaches.MethodsSix hundred and nineteen adult patients had long-term infusion and chemotherapy needs and inconvenience of peripheral venous infusion. Right INV approach was used to implant 339 cases of TIVADs, and right IJV approach was used to implant 280 cases of TIVADs. The success rate of one-time catheterization and the incidence of complications in the two groups were retrospectively analyzed.ResultsAll patients were successfully implanted in TIVAD. The success rates of one-time puncture in INV group and IJV approach group were 98.53% (334/339) and 95.36% (267/280), respectively. There was significant difference between the two groups (P = 0.020). The incidence of perioperative complications and long-term complications in the right INV group were 1.18% (4/339) and 3.54% (12/339), respectively, while those in the right IJV group were 1.43% (4280) and 3.93% (11280). There was no significant difference in the incidence of perioperative or long-term complications between the two groups (P = 0.785, P = 0.799, respectively).ConclusionsUS-guided TIVADs via the right INV approach and the right IJV approach are both safe and reliable. The right INV approach improves the one-time puncture success rate, as long as the technique is properly operated, serious complications rarely occur.

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“…In this study, we chosed to puncture the right INV to avoid lymphatic leakage caused by thoracic duct injury, as reported in our previous study. [10,11] . But in Beccaria's study [9] , 78 patients with left INV catheterization did not have thoracic duct injury.…”

Section: Discussionmentioning

confidence: 99%

Comparison between Ultrasound-guided TIVAD via the right innominate vein and the right internal jugular vein approach

Sun

Bai

Shen

et al. 2019

Preprint

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Purpose: To compare the efficacy and safety of right internal jugular vein (IJV) approach and right innominate vein (INV) approach for US-guided totally implantable venous access devices (TIVADs), and to explore the advantages and disadvantages of the two approaches. Methods: Six hundred and nineteen adult patients had long-term infusion and chemotherapy needs and inconvenience of peripheral venous infusion. Right INV approach was used to implant 339 cases of TIVADs, and right IJV approach was used to implant 280 cases of TIVADs. The success rate of one-time catheterization and the incidence of complications in the two groups were retrospectively analyzed. Results: All patients were successfully implanted in TIVAD. The success rates of one-time puncture in INV group and IJV approach group were 98.53% (334/339) and 95.36% (267/280), respectively. There was significant difference between the two groups (P=0.020). The incidence of perioperative complications was 1.18% (4/339) and the long-term complications was 3.54% (12/339) in the right INV group. The incidence of perioperative complications was 1.43% (4/280) and the long-term complications was 3.93% (11/280) in the right INV group. There was no significant difference in the incidence of complications between the two groups (P=0.785，P=0.799, respectively). Conclusions: US-guided TIVADs via the right INV approach and the right IJV approach are both safe and reliable. The right INV approach improves the one-time puncture success rate, as long as the technique is properly operated, serious complications rarely occur.

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Ultrasound‐guided totally implantable venous access device through the right innominate vein in older patients is safe and reliable

Cited by 5 publications

References 23 publications

Review article: Feasibility of brachiocephalic vein central venous access for the resuscitation of shocked adult trauma patients: A literature review

Review article: Feasibility of brachiocephalic vein central venous access for the resuscitation of shocked adult trauma patients: A literature review

Comparison between ultrasound-guided TIVAD via the right innominate vein and the right internal jugular vein approach

Comparison between Ultrasound-guided TIVAD via the right innominate vein and the right internal jugular vein approach

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