Risk factors for central line-associated bloodstream infection in pediatric oncology patients with a totally implantable venous access port: A cohort study

2016 ◽  
Vol 64 (2) ◽  
pp. 336-342 ◽  
Author(s):  
Michelle Ribeiro Viana Taveira ◽  
Luciana Santana Lima ◽  
Cláudia Corrêa de Araújo ◽  
Maria Júlia Gonçalves de Mello
2021 ◽  
Vol 41 (3) ◽  
pp. 1547-1553
Author(s):  
SATORU FURUHASHI ◽  
YOSHIFUMI MORITA ◽  
SHINYA IDA ◽  
RYUTA MURAKI ◽  
RYO KITAJIMA ◽  
...  

Author(s):  
Felix Becker ◽  
Lennart A. Wurche ◽  
Martina Darscht ◽  
Andreas Pascher ◽  
Benjamin Struecker

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.


2017 ◽  
Vol 8 (2) ◽  
pp. 49
Author(s):  
Tayseer Alsaad ◽  
Mohamad Qaisuddin ◽  
Doua AlSaad ◽  
Prem Chandra ◽  
Omar AlAbd ◽  
...  

2020 ◽  
Vol 9 (1) ◽  
pp. 30-36 ◽  
Author(s):  
Ning Ai ◽  
Li Li ◽  
Fenghua Yin ◽  
Zhigang Li ◽  
Cuizhi Geng ◽  
...  

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