A comparative study of low-profile and regular type totally implantable venous access devices in patients with malignant tumors: Retrospective analysis of 4501 implantations Malign tümörlü olgularda düşük profilli ve standard tip TİVEC kullani{dotless}mi{dotless}ni{dotless}n karşi{dotless}laşti{dotless}rmali{dotless} çali{dotless}şmasi{dotless}: 4501 olgunun retrospektif analizi

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Akmangit I., Dede D., Daglioglu E., Sayin B., Peker A., Uncu D., ...Daha Fazla

UHOD - Uluslararasi Hematoloji-Onkoloji Dergisi, cilt.24, sa.2, ss.97-105, 2014 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 24 Sayı: 2
  • Basım Tarihi: 2014
  • Doi Numarası: 10.4999/uhod.14335
  • Dergi Adı: UHOD - Uluslararasi Hematoloji-Onkoloji Dergisi
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.97-105
  • Anahtar Kelimeler: Port, TIVAD, Low-profile, Regular, Skin perforation, INTERNAL JUGULAR-VEIN, CATHETER-RELATED INFECTIONS, SUPERIOR VENA-CAVA, VASCULAR ACCESS, CANCER-PATIENTS, GUIDED INSERTION, ATRIAL CATHETER, TIP POSITION, PORT DEVICES, HIGH SUCCESS
  • Lokman Hekim Üniversitesi Adresli: Hayır

Özet

The purpose of this study was to evaluate safety and efficacy of image-guided radiological totally implantable venous access devices with special reference to rate of skin complications of both regular and low-profile types. 4395 patients were referred to Interventional Radiology Unit between March 2003-September 2013. 4501 implantations of totally implantable venous access device were performed in patients under sonography and fluoroscopy. During this period 2299 regular-type and 2202 low-profile type totally implantable venous access devices were used. Success rate, periprocedural early and long-term complications were evaluated. Periprocedural and early complications of totally implantable venous access devices included 16 (0.4%) arterial punctures, 101 (2.2%) minor hematoma, 1 (%0.02) disconnection of the catheter, 4 (0.09%) septum separation, 38(0.8%) minor erythema-pain and tenderness, 23 (0.5%) short term fever without bacteriemia and 25 (0.6%) inversion of the port. Late complications included 6(0.1%) cellulitis, 8 (0.2%) bacteriemia and sepsis, 305 (6.8%) venous thrombosis, 62 (1.4%) catheter thrombosis, 6 (0.1%) catheter migration and 3 (0.07%) catheter fracture. A total of 53 (1.18%) skin perforation were seen. There was statistically significant difference between regular and low-profile totally implantable venous access devices particularly in patients with normal and thinner subcutaneous fat tissue (p= 0.024 and <0.001 respectively). The present study is the largest series in the literature in patients with malignant tumors. Image-guided radiological totally implantable venous access device placement is safe and reliable method with a low risk of complications and the results of this study further justify the use of low profile totally implantable venous access device based on lower skin complications.