| Autor: |
Syed I. Khalid, MD, Samantha Maasarani, MPH, Rachyl M. Shanker, BS, Aaron Lee Wiegmann, MD, Rita Wu, BS, Nicholas J. Skertich, MD, Samantha L. Terranella, MD, Laura DeCesare, MD, Edie Y. Chan, MD |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
|
| Zdroj: |
Surgery Open Science, Vol 3, Iss , Pp 39-43 (2021) |
| Druh dokumentu: |
article |
| ISSN: |
2589-8450 |
| DOI: |
10.1016/j.sopen.2020.10.002 |
| Popis: |
Background: We aimed to evaluate the long-term complication profile associated with port-a-catheter placement. Methods: Patients undergoing port-a-catheter placement from 2007 to 2012 with 5-year follow up were identified. Descriptive statistics, χ2 tests, and multivariate regression models were analyzed. Results: Any complication occurring within 5 years postoperatively was common (59.04%, n = 53,353). Arrhythmogenic (32.66%, n = 30,625) and thrombovascular (36.80%, n = 34,499) complications were more common than infection (17.86%, n = 16,745) and mechanical (10.31%, n = 9,670) complications. Multivariate analysis demonstrated that history of atrial fibrillation is a risk factor for developing any complication (odds ratio 7.99, 95% confidence interval 7.29–8.77). Conclusion: Patients with history of atrial fibrillation have increased odds of developing infectious, thrombovascular, mechanical, and arrhythmogenic complications with port-a-catheter placement. This study is the first to show that postprocedure arrhythmias occur at significant rates within the 5-year follow-up period. We caution that development of new arrhythmia should be monitored throughout a prolonged follow-up period. We hope our analysis encourages multidisciplinary coordination of patients with ports so that implants are promptly removed when they are no longer needed to avoid these complications. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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