Does the real-time ultrasound guidance provide safer venipuncture in implantable venous port implantation?
| Autor: | İlker Özgür, Ayse Cigdem Tutuncu, Mukaddes Demiray, Hasan Karanlik, Süleyman Bademler, İlknur Yıldırım |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Real time ultrasound Punctures 030218 nuclear medicine & medical imaging Veins 03 medical and health sciences 0302 clinical medicine Port (medical) Predictive Value of Tests Risk Factors SAFER Catheterization Peripheral medicine Humans Ultrasonography Interventional Aged Retrospective Studies Venipuncture business.industry Middle Aged Ultrasound guided Surgery Nephrology 030220 oncology & carcinogenesis Female Port placement Anatomic Landmarks business Vascular Access Devices |
| Zdroj: | The journal of vascular access. 19(3) |
| ISSN: | 1724-6032 |
| Popis: | Aim: To examine whether the real-time ultrasound-guided venipuncture for implantable venous port placement is safer than the traditional venipuncture. Methods: The study analyzed the results of 2153 venous ports placed consecutively from January 2009 to January 2016. A total of 922 patients in group 1 and 1231 patients in group 2 were admitted with venous port placed using the traditional landmark subclavian approach and real-time ultrasound-guided axillary approach, respectively. Sociodemographic characteristics of patients, early (pneumothorax, pinch-off syndrome, arterial puncture, hematoma, and malposition arrhythmia) and late (deep vein thrombosis, obstruction, infection, erosion-dehiscence, and rotation of the port chamber) complications and the association of these complications with the implantation method were evaluated. Results: There were no significant differences in the sociodemographic characteristics of the patients between the two groups. The overall and early complications in group 2 were significantly lower than those in group 1. Pinch-off syndrome only developed in group 1. Seven patients and two patients had pneumothorax in groups 1 and 2, respectively. Puncture number was significantly associated with the development of the overall complications. Conclusion: The ultrasound-guided axillary approach may be preferred as a method to reduce the risk of both early and late complications. Large, randomized, controlled prospective trials will be helpful in determining a safer implantable venous port implantation technique. |
| Databáze: | OpenAIRE |
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