Secondary malposition of a PICC-port due to heavy physical exercise: A case report

2021 ◽  
pp. 112972982110394
Author(s):  
Sonia D’Arrigo ◽  
Maria Giuseppina Annetta ◽  
Andrea Musarò ◽  
Mariagrazia Distefano ◽  
Mauro Pittiruti
Keyword(s):  
Physical Exercise ◽  
High Intensity ◽  
Central Venous Access ◽  
Venous Access ◽  
High Intensity Exercise ◽  
Mechanical Complication ◽  
Secondary Migration ◽  
Chest X Ray ◽  
Venous Access Device ◽  
The Impact

Physical exercise is often encouraged in cancer patients, mainly for the purpose of rehabilitation and for its psychological benefit. Some authors also suggest that exercise—specially in patient with peripherally inserted central venous access devices—may contribute to reduce the risk of catheter-related thrombosis. Still, the impact of physical exercise on the risk of device-related complications is not yet defined. We report a case of secondary migration of the tip of an arm port, caused by high-intensity exercise in a woman undergoing chemotherapy because of ovarian cancer. Tip migration was suspected because of malfunction (persistent withdrawal occlusion) and diagnosis established after ultrasound examination and chest x-ray. Even if exercise may yield benefit in the cancer patient on chemotherapy, the risk of mechanical complication of the venous access device—such as tip migration—should be considered in the case of high-intensity exercise.

scholarly journals Impact of Single Bout of Physical Exercise on Adolescents’ Strength and Balance Abilities

2018 ◽  
Vol 1 (96) ◽  
Author(s):  
Lina Kreivėnaitė ◽  
Vytautas Streckis ◽  
Sandra Raizgytė ◽  
Asta Lileikienė
Keyword(s):  
Physical Exercise ◽  
High Intensity ◽  
Postural Sway ◽  
High Intensity Exercise ◽  
Body Balance ◽  
Low Intensity ◽  
Eyes Closed ◽  
Single Bout ◽  
Eyes Open ◽  
The Impact

Background. There is evidence of physical exercise effect on the adolescents’ balance and strength; however it is not known how aforementioned variables respond to physical exercise with different loads and intensities. Therefore, the aim of the study was to assess the impact of single bout of physical exercise of different intensity on adolescents’ body balance and muscular strength.Methods. Thirty healthy, physically active 11–13-year-old adolescents were randomly allocated to one of the two groups. Both groups performed single bout of physical exercise of high- or low-intensity climbing up and down-stairs. Postural sway and maximum voluntary contractions (MVC) were assessed before and after physical exercise. Results. No statistically significant impact of low or high intensity exercise was found at adolescents’ MVC. High intensity exercise influenced bigger postural sway with eyes closed compared to eyes open ( p < .05). After high-intensity exercise there was a significantly greater postural sway with eyes closed than with eyes open (p < .05). Conclusions. High and low intensity physical exercise had no impact on the adolescents’ maximum voluntary contraction, whereas high intensity exercise deteriorated body balance with eyes closed.Keywords:  adolescence, physical exercise, MVC, balance

scholarly journals Health professionals' lack of knowledge of central venous access devices: the impact on patients

2019 ◽  
Vol 28 (14) ◽  
pp. S4-S14
Author(s):  
Linda J Kelly ◽  
Austyn Snowden ◽  
Ruth Paterson ◽  
Karen Campbell
Keyword(s):  
Patient Experience ◽  
Online Survey ◽  
Central Venous Access ◽  
Venous Access ◽  
Central Venous ◽  
Doctoral Study ◽  
Study Objective ◽  
Disease Experience ◽  
Venous Access Device ◽  
The Impact

Background: the literature on the patient experience of living with a central venous access device (CVAD) is growing, but remains sparse. It suggests that patients accept having a CVAD as it should reduce episodes of repeated cannulations. However, a recent doctoral study found the reality did not live up to this hope. Aim: the study objective was to uncover the global, cross-disease experience of patients with CVADs. Method: an online survey was sent to an international sample of people living with CVADs. Findings: 74 people from eight countries responded. Respondents corroborated the PhD findings: painful cannulation attempts continued after CVAD insertion because of a lack of clinical knowledge. Participants lost trust in clinicians and feared complications due to poor practice. Conclusion: clinicians often lack the necessary skills to care and maintain CVADs. This leads to a negative patient experience.

The electrocardiographic method for positioning the tip of central venous access device

2019 ◽  
Vol 21 (5) ◽  
pp. 589-595
Author(s):  
Yanfen Yu ◽  
Lingling Yuan
Keyword(s):  
Odds Ratio ◽  
Central Venous Access ◽  
Venous Access ◽  
Central Venous ◽  
Central Venous Access Device ◽  
Access Device ◽  
X Ray ◽  
Catheter Tip ◽  
Chest X Ray ◽  
Venous Access Device

Background: The electrocardiogram-based insertion method is non-radiative, allowing real-time positioning verification and reducing the need for postoperative repositioning. Methods: Relevant databases published from January 1990 to January 2019 in PubMed, Web of Knowledge, Medline and Ovid’s database were searched, comparing the effectiveness of electrocardiogram-guided catheter tip positioning (electrocardiogram-guided group) and the landmarks-guided insertion plus chest X-ray confirmation (landmarks-guided group). The primary outcome was accurate catheter tip placement and the secondary outcomes were complications. Results: A total of 13 studies were finally included with a total of 4988 patients, of whom 2789 cases were in the electrocardiogram-guided group and 2199 cases received landmarks-guided insertion plus chest X-ray. Compared with the landmarks-guided group, our meta-analysis showed that the electrocardiogram-guided group had a higher success rate of tip placement (odds ratio = 0.21, 95% confidence interval = 0.14–0.34, p < 0.00001) and fewer total complications (odds ratio = 0.10, 95% confidence interval = 0.04–0.23, p < 0.000001). Conclusion: Based on our findings, electrocardiogram-guided tip placement for central venous access device was more accurate and safer than landmarks-guided positioning, which may be considered as an alternative method to the standard radiological control of tip placement.

Risk factors determining central venous access device-associated deep vein thrombosis resolution in children: a retrospective study

2021 ◽  
Author(s):  
Miguel García-Boyano ◽  
José Manuel Caballero-Caballero ◽  
Marta García Fernández de Villalta ◽  
Mar Gutiérrez Alvariño ◽  
María Jesús Blanco Bañares ◽  
...  
Keyword(s):  
Risk Factors ◽  
Deep Vein Thrombosis ◽  
Central Venous Access ◽  
Venous Access ◽  
Central Venous ◽  
Central Venous Access Device ◽  
Access Device ◽  
Vein Thrombosis ◽  
Venous Access Device ◽  
Deep Vein

Thromboembolism in Patients With Advanced Gastroesophageal Cancer Treated With Anthracycline, Platinum, and Fluoropyrimidine Combination Chemotherapy: A Report From the UK National Cancer Research Institute Upper Gastrointestinal Clinical Studies Group

2009 ◽  
Vol 27 (23) ◽  
pp. 3786-3793 ◽  
Author(s):  
Naureen Starling ◽  
Sheela Rao ◽  
David Cunningham ◽  
Timothy Iveson ◽  
Marianne Nicolson ◽  
...  
Keyword(s):  
Combination Chemotherapy ◽  
Treated Patient ◽  
Controlled Trial ◽  
Central Venous Access ◽  
Locally Advanced ◽  
Venous Access ◽  
Gastroesophageal Cancer ◽  
National Cancer Research Institute ◽  
The Uk ◽  
Venous Access Device

PurposeData concerning the prevalence of and outcomes related to thromboembolic events (TEs) in patients with advanced gastroesophageal cancer who are undergoing chemotherapy are limited.Patients and MethodsThis was a prospective, exploratory analysis of TEs in a randomized, controlled trial of 964 patients recruited between 2000 and 2005 and treated with epirubicin/platinum/fluoropyrimidine combination chemotherapy for advanced/locally advanced gastroesophageal cancer. Regimens were epirubicin (E), cisplatin (C), fluorouracil (F; ECF); E, C, capecitabine (X; ECX); E, F, oxaliplatin (O; EOF); and EOX. Continuously infused F was administered via a central venous access device (CVAD) with 1 mg of warfarin for thromboprophylaxis. The principal outcome was the incidence of TEs (venous and arterial) in the whole treated patient cohort, according to chemotherapy, associated with CVADs and TE-related prognoses.ResultsThe incidences of any, of venous, and of arterial TEs among 964 treated patients were 12.1% (95% CI, 10.7 to 14.3), 10.1% (95% CI, 8.3 to 12.3), and 2.2% (95% CI, 1.4 to 3.4) respectively. There were fewer TEs in the O compared with the cisplatin groups (EOF/EOX v ECF/ECX: 7.6% v 15.1%; P = .0003). C was identified as a risk factor for TE in multivariate analysis (hazard ratio [HR], 0.51; 95% CI, 0.34 to 0.76; P = .001). There was no difference in the incidence of TEs for the F group compared with the capecitabine groups. The incidence of CVAD-related thrombosis was 7.0% (ECF/EOF arms). Overall survival was worse for patients who experienced TEs versus no TEs (median survival, 7.4 v 10.5 months; HR, 0.8; 95% CI, 0.64 to 0.99; P = .043).ConclusionThis analysis has prospectively quantified the incidence/pattern of TEs among patients with advanced gastroesophageal cancer who were treated with four triplet regimens, has demonstrated a differential thrombogenic effect according to platinum use, and has noted a poorer outcome associated with TE during treatment. Chemotherapy-related TE should contribute to the risk/benefit assessment of treatment.

scholarly journals The impact of 2 years of high‐intensity exercise training on a model of integrated cardiovascular regulation

2018 ◽  
Vol 597 (2) ◽  
pp. 419-429 ◽  
Author(s):  
Michinari Hieda ◽  
Erin J. Howden ◽  
Satyam Sarma ◽  
William Cornwell ◽  
Justin S. Lawley ◽  
...  
Keyword(s):  
Exercise Training ◽  
High Intensity ◽  
Cardiovascular Regulation ◽  
High Intensity Exercise ◽  
The Impact

scholarly journals Incidental Detection of Persistent Left Superior Vena Cava during Transvenous Pacing

2015 ◽  
Vol 3 (2) ◽  
pp. 52-54
Author(s):  
S Subash ◽  
Divya Gopal ◽  
Ashwini Thimmarayappa
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena ◽  
Central Venous Access ◽  
Pacemaker Implantation ◽  
Vena Cava ◽  
Venous Access ◽  
Left Superior Vena Cava ◽  
Persistent Left Superior Vena ◽  
Pacing Lead ◽  
Chest X Ray

ABSTRACT Patients with persistent left superior vena cava (PLSVC) are usually asymptomatic, but due to its anatomical defects, difficulties in establishing central venous access, pacemaker implantation and cardiothoracic surgery are common. We report a case of 65 years old patient who presented with complete heart block in cardiac critical care and, after emergency transvenous pacing, the chest X-ray showed unusual course of the transvenous pacing lead, which on further transthoracic echocardiographic (TTE) evaluation demonstrated dilated coronary sinus with PLSVC. How to cite this article Subash S, Gopal D, Thimmarayappa A. Incidental Detection of Persistent Left Superior Vena Cava during Transvenous Pacing. J Perioper Echocardiogr 2015; 3(2):52-54.

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