scholarly journals Perioperative and Postoperative Complications of Supraclavicular, Ultrasound-Guided, Totally Implantable Venous Access Port via the Brachiocephalic Vein in Adult Patients: A Retrospective Multicentre Study

2021 ◽  
Vol Volume 17 ◽  
pp. 137-144
Author(s):  
Zepeng Yu ◽  
Xingwei Sun ◽  
Xuming Bai ◽  
Wei Ding ◽  
WeiDong Wang ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Multicentre Study ◽  
Venous Access ◽  
Adult Patients ◽  
Brachiocephalic Vein ◽  
Ultrasound Guided ◽  
Access Port ◽  
Venous Access Port

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

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.

Totally implantable venous access port: A prospective long-term study of early and late complications in adult patients with cancer.

2014 ◽  
Vol 32 (15_suppl) ◽  
pp. e20635-e20635
Author(s):  
Pauline du Rusquec ◽  
Eric Voog ◽  
Loic Campion ◽  
Hugues Pierre Bourgeois ◽  
Fabrice Denis ◽  
...  
Keyword(s):  
Venous Access ◽  
Late Complications ◽  
Adult Patients ◽  
Term Study ◽  
Access Port ◽  
Patients With Cancer ◽  
Long Term Study ◽  
Venous Access Port

scholarly journals Ultrasound-guided totally implantable venous access ports via the right innominate vein: a new approach for patients with breast cancer

2019 ◽  
Vol 17 (1) ◽  
Author(s):  
Liang Xu ◽  
Wenming Qin ◽  
Weiwei Zheng ◽  
Xingwei Sun
Keyword(s):  
Breast Cancer ◽  
Postoperative Complications ◽  
Success Rate ◽  
Cancer Patients ◽  
Venous Access ◽  
Innominate Vein ◽  
Breast Cancer Patients ◽  
Ultrasound Guided ◽  
Access Port ◽  
The Right

Abstract Background To evaluate the feasibility and safety of ultrasound-guided totally implantable venous access port (TIVAP) implantation via the right innominate vein in patients with breast cancer. Methods Sixty-seven breast cancer patients underwent ultrasound-guided implantation of TIVAPs via the right innominate vein for administration of chemotherapy. Clinical data including technical success, success rate for the first attempt, periprocedural, and postoperative complications were recorded and retrospectively studied. Results All patients underwent successful surgery. The success rate of the first attempt was 95.52% (64/67). The operation time was 28 to 45 min, with an average of 36 ± 6 min. Periprocedural complications included artery punctures in 1 (1.50%, 1/67) patient. Prior to this study, the mean TIVAP time was 257 ± 3 days (range 41 to 705 days). The rate of postoperative complications was 4.48% (3/67), including catheter-related infections in 1 case and fibrin sheath formation in 2 cases. Up to the present study, three people had unplanned port withdrawal due to complications, and the TIVAPs for 25 patients were still in normal use. Conclusions The success rate of ultrasound-guided TIVAPs via the right innominate vein is high with low complications, thus safe and feasible. This technique can provide a new option for chemotherapy of breast cancer patients.

scholarly journals Femoral placement of a totally implantable venous access port with spontaneous catheter fracture: case report

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Tomohiro Kondo ◽  
Shigemi Matsumoto ◽  
Keitaro Doi ◽  
Motoo Nomura ◽  
Manabu Muto
Keyword(s):  
Superior Vena ◽  
Vena Cava ◽  
Venous Access ◽  
Brachiocephalic Vein ◽  
Access Port ◽  
Femoral Site ◽  
First Case ◽  
Venous Access Port ◽  
The Right ◽  
Catheter Fracture

Abstract Background The incidence of catheter fracture after standard positioning of a totally implantable venous access port (TIVAP) is reported to be 1.1%–5.0%; however, the incidence of catheter fracture after TIVAP implantation at a femoral site remains unclear. Case presentation In a 30-year-old man with angiosarcoma of the right atrium, tumor embolism was observed from the left brachiocephalic vein to the superior vena cava. A TIVAP was implanted in the right femur. A catheter fracture was spontaneously observed after 7 months. Conclusions To the best of our knowledge, this is the first case of catheter fracture in a TIVAP implantation at a femoral site.

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