Tailored approach to the choice of long-term vascular access in breast cancer patients

Autor: Eunseon Jeong, Hyangkyoung Kim, Soo Mi Son, Jang-Yong Kim, Su-kyung Kwon
Rok vydání: 2021
Předmět:
Tailored approach
medicine.medical_treatment
Deep vein
Cancer Treatment
Cardiovascular Medicine
Jugular Vein
Vascular Medicine
0302 clinical medicine
Catheters
Indwelling
Medical Conditions
Breast Tumors
Medicine and Health Sciences
030212 general & internal medicine
Multidisciplinary
Pharmaceutics
Incidence
Hematology
Venous Thromboembolism
Middle Aged
Thrombosis
Deep Vein Thrombosis
Catheter
medicine.anatomical_structure
Oncology
Cardiovascular Diseases
030220 oncology & carcinogenesis
Medicine
Engineering and Technology
Female
Anatomy
Research Article
Biotechnology
Adult
Clinical Oncology
medicine.medical_specialty
Catheters
Science
Vascular access
Cardiology
Breast Neoplasms
Bioengineering
Veins
03 medical and health sciences
Cancer Chemotherapy
Breast cancer
Drug Therapy
Thromboembolism
Breast Cancer
medicine
Humans
Chemotherapy
Blood Coagulation
Aged
Coagulation Disorders
business.industry
Biology and Life Sciences
Cancers and Neoplasms
Intravenous chemotherapy
medicine.disease
Surgery
Cardiovascular Anatomy
Blood Vessels
Medical Devices and Equipment
Clinical Medicine
business
Zdroj: PLoS ONE
PLoS ONE, Vol 16, Iss 7, p e0255004 (2021)
ISSN: 1932-6203
Popis: This study compared the possible options for vascular access in breast cancer patients by analyzing the complications of each method. We retrospectively evaluated the vascular access procedures for intravenous chemotherapy in breast cancer patients from 2016 to 2018. A total of 300 consecutive patients were included, 100 each who received peripherally inserted central catheters (PICCs), arm ports, and chest ports. When selecting a catheter, a PICC was considered when four cycles of chemotherapy were expected. Otherwise, patient preference was considered. All but one patient with an arm port were women, with mean age of 51.7 ± 9.1 years. The total mean complication-free catheter indwelling time was 1357.6 days for chest ports, 997.8 days for arm ports, and 366.8 days for PICCs (p = 0.004). There were 11 catheter-related complications (3.7%), one in a chest port patient, five in arm port patients, and eight in PICC patients. There was no patient with catheter related blood stream infection or deep vein thrombosis. All three types of catheters could be used in breast cancer patients without causing serious complications. The selection of catheter considering the clinical situation was effective for providing a safe and secure chemotherapy delivery route.
Databáze: OpenAIRE
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