| Autor: |
H M Chang, Y C Chou, S D Hsu, G S Liao, T W Chen, C B Hsieh, C J Chen, J C Yu, De-Chuan Chan |
| Jazyk: |
angličtina |
| Rok vydání: |
2014 |
| Předmět: |
|
| Zdroj: |
Journal of Medical Sciences, Vol 34, Iss 4, Pp 161-165 (2014) |
| Druh dokumentu: |
article |
| ISSN: |
1011-4564 |
| DOI: |
10.4103/1011-4564.139186 |
| Popis: |
Background: Fracture of totally implantable venous access devices (TIVAD) is a rare but potential serious complication. We aimed to explore the risk factors for fracture at catheter of TIVAD via subclavian vein insertion. Materials and Methods: From January 2008 to July 2010 the records of 34 patients with fractured TIVAD were retrospectively reviewed. The comparison group included 170 randomly selected cases (5 for every patient with a fractured catheter) from 3919 cases of TIVAD implantations without catheter fracture. Variables associated with catheter implantation and the relationship between the catheter and the clavicle were analyzed. Results: Statistical analysis revealed implantation method, duration of implantation, brand of device, and port-clavicle distance were predictive risk factors for catheter fracture on univariate analysis. Duration of implantation >200 days and port-clavicle distance 200 days was associated with a significantly increased risk of catheter fracture. Conclusions: We suggested that TIVAD with a port-clavicle distance |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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