Totally implantable venous access port systems and risk factors for complications: A one-year prospective study in a cancer centre

Abstract Purpose Modern oncological treatment algorithms require a central venous device in form of a totally implantable venous access port (TIVAP). While most commonly used techniques are surgical cutdown of the cephalic vein or percutaneous puncture of the subclavian vein, there are a relevant number of patients in which an additional strategy is needed. The aim of the current study is to present a surgical technique for TIVAP implantation via an open Seldinger approach of the internal jugular vein and to characterize risk factors, associated with primary failure as well as short- (< 30 days) and long-term (> 30 days) complications. Methods A total of 500 patients were included and followed up for 12 months. Demographic and intraoperative data and short- as well as long-term complications were extracted. Primary endpoint was TIVAP removal due to complication. Logistic regression analysis was used to analyze associated risk factors. Results Surgery was primarily successful in all cases, while success was defined as functional (positive aspiration and infusion test) TIVAP which was implanted via open Seldinger approach of the jugular vein at the intended site. TIVAP removal due to complications during the 1st year occurred in 28 cases (5.6%) while a total of 4 (0.8%) intraoperative complications were noted. Rates for short- and long-term complications were 0.8% and 6.6%, respectively. Conclusion While the presented technique requires relatively long procedure times, it is a safe and reliable method for TIVAP implantation. Our results might help to further introduce the presented technique as a secondary approach in modern TIVAP surgery.

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Risk factors for complications of implantable venous access port usage among young pediatric patients with a solid tumor in China: a single-center retrospective study

10.22541/au.160335730.00432757/v1 ◽

2020 ◽

Author(s):

Shanshan Qiu ◽

Ming Hu ◽

Ping Guan ◽

Chenchen Li ◽

Nan Bao ◽

...

Keyword(s):

Risk Factors ◽

Retrospective Study ◽

Solid Tumor ◽

Pediatric Patients ◽

Venous Access ◽

Single Center ◽

Access Port ◽

Venous Access Port

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Complications associated with implantation and use of totally implantable venous access port in pediatric and adult patients

Sestrinski glasnik/Nursing Journal ◽

10.11608/sgnj.26.2.9 ◽

2021 ◽

Vol 26 (2) ◽

pp. 135-142

Author(s):

Petra Klanjšek ◽

Katarina Grm ◽

Jasmina Nerat ◽

Leona Cilar

Keyword(s):

English Language ◽

Surgical Techniques ◽

Final Analysis ◽

Venous Access ◽

Adult Patients ◽

Care Process ◽

Access Port ◽

Port Systems ◽

Venous Access Port ◽

Cost Implications

Introduction: The use of totally implantable venous access port systems (TIVAPS) is crucial for long-term intravenous treatment in children and adults patients. The purpose of this article is to examine the extent of existing research on complications related to implantation and management of TIVAPS. Methods: A scoping review was performed from September to December in 2019. The MEDLINE, CINAHL and PubMed databases were used to review and analyze the literature using various combinations of keywords and their English-language synonyms. Quantitative clinical research published from 2010 to December 2019 were included in the analysis. The PRISMA-ScR recommendations were followed. Results: Out of the 219 search results, 26 studies were included in the final analysis. To identify complications associated with the implantation and handling of TIVAPS, free codes were identified by thematic analysis leading to the development of 17 primary grade descriptive subthemes. For the development of the thematic framework, all secondary level sub-topics were synthesized into three main themes: time-bound complications, infection-related complications, and TIVAPS removal complications. Discussion: Nurses who use TIVAPS on children and adult patients should be aware of the possible complications associated with TIVAPS. Refinement of surgical techniques and improving care process may improve the longevity of the line. Proper and careful management with TIVADs and more frequent observation by nurses are likely to have positive consequences for patients and positive cost implications for the hospital.

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