Implantable subcutaneous venous access devices: is port fixation necessary? A review of 534 cases
| Autor: | Andrew R. Forauer, Nancy J. McNulty, Kiley D. Perrich, Robert M. Linville, Anne M. Silas |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Catheterization Central Venous Suture fixation Radiology Interventional Fixation (surgical) Young Adult Catheters Indwelling Postoperative Complications Subcutaneous Tissue medicine Humans Radiology Nuclear Medicine and imaging Device Removal Aged Retrospective Studies Aged 80 and over Retrospective review business.industry Middle Aged medicine.disease Thrombosis Port (computer networking) Surgery Venous access Catheter Equipment Contamination Equipment Failure Female Port placement Cardiology and Cardiovascular Medicine business |
| Zdroj: | Cardiovascular and interventional radiology. 33(4) |
| ISSN: | 1432-086X |
| Popis: | Conventional surgical technique of subcutaneous venous port placement describes dissection of the port pocket to the pectoralis fascia and suture fixation of the port to the fascia to prevent inversion of the device within the pocket. This investigation addresses the necessity of that step. Between October 8, 2004 and October 19, 2007, 558 subcutaneous chest ports were placed at our institution; 24 cases were excluded from this study. We performed a retrospective review of the remaining 534 ports, which were placed using standard surgical technique with the exception that none were sutured into the pocket. Mean duration of port use, total number of port days, indications for removal, and complications were recorded and compared with the literature. Mean duration of port use was 341 days (182,235 total port days, range 1–1279). One port inversion/flip occurred, which resulted in malfunction and necessitated port revision (0.2%). Other complications necessitating port removal included infection 26 (5%), thrombosis n = 2 ( |
| Databáze: | OpenAIRE |
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