Is there any correlation between venipuncture sites and complications of central venous port placement in the chest wall?
| Autor: | Yukihiko Karasawa, Hiroe Kitahara, Yuta Yamamoto, Masaki Yoshimura, Takashi Orii |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Venipuncture business.industry 030218 nuclear medicine & medical imaging Surgery 03 medical and health sciences Catheter 0302 clinical medicine Port (medical) 030220 oncology & carcinogenesis Jugular vein Medicine Implant business Subclavian vein Body mass index Internal jugular vein |
| Zdroj: | International Journal of Surgery Open. 14:15-18 |
| ISSN: | 2405-8572 |
| DOI: | 10.1016/j.ijso.2018.08.003 |
| Popis: | Background Central venous (CV) port is an integral part of chemotherapy and parenteral treatment, for long-term venous access. It is still unclear whether there is a correlation between venipuncture sites, and complications and patency of the CV port placed in the chest wall. Methods Two-hundred and sixty-nine patients, who underwent CV port placement in their chest wall, were reviewed retrospectively in this study. They were divided into two groups, the S (subclavian vein) group and I (internal jugular vein) group, according to the venipuncture site. We analyzed the data from the medical records and examined the differences in complications between the two groups. Results The median event free period among all patients was 228 days (range: 5–1877), the cumulative follow-up period was 97,176 catheter days. There were no significant differences between the two groups in terms of sex, age, body mass index (BMI), primary disease, reason for implant, past history of diabetes mellitus and occurrence of procedural complications. The median event free days were 200.0 (6–1846) in the S group and 246.0 (5–1877) days in the I group. The rate of event-free port availability after one, two and three years was 84.6, 74.0 and 66.5% in the S group, and 84.4, 80.3 and 80.3% in the I group respectively, which were not significantly different between the two groups. Conclusions Complications of CV port placement have no correlation with the subclavian or jugular vein puncture sites. |
| Databáze: | OpenAIRE |
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