Use of totally implantable central venous access ports for high-dose chemotherapy and peripheral blood stem cell transplantation: results of a monocentre series of 376 patients

Abstract

The use of TIAPs has resulted in a safe and effective option for high-dose chemotherapy deliverance and stem cell transplantation, in spite of inducing severe neutropenia and increasing the risk of sepsis in this category of oncology patient.

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

“…In our study, it was not possible to compare the incidence of immediate complications between puncture in the subclavian vein to those in the jugular vein, given that patients who had pneumothorax or hemothorax underwent puncture attempts in both veins. The incidence of pneumothorax found in the present study (1.2%), however, was within the range of 1-6% reported in the literature [4,10,[12][13][14]19,24,25,[27][28][29]. The incidence of hematoma in the puncture site, which was 1.2% in our study, has been previously described as ranging from 0.8 to 8% [14,19,29,30].…”

“…No cases of clavicular pain or stenosis of the subclavian vein were observed. The incidence of thrombosis among adult patients normally ranges from 0.3 to 28% [1,10,13,14,16,29], while among children it is around 12% [32]. However, in our study, thrombosis was diagnosed by chest tomography in just one asymptomatic patient in the subclavian vein group (1.2%), which was later confirmed by phlebography.…”

“…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].…”

Totally implantable venous access port systems and risk factors for complications: A one-year prospective study in a cancer centre

“…[1,2] Although TIVAPS are generally associated with a lower long-term risk of infection compared to Hickman-type central venous catheters, [3,4] complications during their placement and long-term use are still a matter of concern. These complications, including infection, catheter fracture, thrombosis and extravasation [5,6,7], may necessitate device replacement, resulting in additional patient stress and treatment delays.…”

Totally Implantable Central Venous Port Catheters: Radiation Exposure as a Function of Puncture Site and Operator Experience

“…Landmark-mark based punctures of the subclavian vein in particular were associated with increased rates of pneumothorax (11,(13)(14)(15)(16)(17). In addition, infection rates were lower for ultrasound-guided approaches with the Seldinger technique (1.1-8.8%) (3,11,13,18,19) compared with surgical cut-down (0.8-16.3%) (10,(20)(21)(22)(23)(24)(25).…”