scholarly journals An evaluation of the long-term complications associated with totally implantable venous access in oncology patients

2021 ◽  
Vol 30 (2) ◽  
pp. 127-132
Author(s):  
Ahmet Acıpayam ◽  
Erdinç Eroğlu
Keyword(s):  
Pulmonary Artery ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Catheter Insertion ◽  
Port Catheter ◽  
Catheter Migration ◽  
Us Guidance ◽  
The Right ◽  
Port Catheters

Objectives: The aim of this study was to examine long-term complications developing in venous port catheters inserted in oncological patients. Patients and methods: A total of 205 oncology patients (124 males, 81 females; mean age: 50.1±22.3 years; range, 6 months to 90 years) in whom vascular port catheters were inserted between March 2015 and April 2020 were retrospectively analyzed. The first preference for port catheter application was the right internal jugular vein. If failed, the contralateral internal jugular vein was used. The procedure was carried out in the operating room with ultrasound (US) guidance under general anesthesia. All patients were evaluated in terms of pneumothorax, catheter orientation, and kinking and malposition after the procedure. Results: A total 219 vascular ports were inserted in 205 patients. The indication for port catheter insertion was the receipt of long-term chemotherapy. Catheters were changed in four patients due to infection and in five patients due to catheter migration. The sites of catheter migration were the right atrium in two, the right ventricle in one, the main pulmonary artery in one, and the right pulmonary artery in one patient. Conclusion: Port catheter insertion under US guidance is a well-designed procedure which can be performed with low complication rates by an experienced surgeon in an aseptic environment. Even if complications develop, they can be usually successfully treated in most cases.

scholarly journals Comparison between Ultrasound-guided TIVAD via the right innominate vein and the right internal jugular vein approach

2019 ◽  
Author(s):  
Xingwei Sun ◽  
Xuming Bai ◽  
Jiaofeng Shen ◽  
Ziyang Yu ◽  
Zhixiang Zhuang ◽  
...  
Keyword(s):  
Success Rate ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Perioperative Complications ◽  
Innominate Vein ◽  
Success Rates ◽  
Advantages And Disadvantages ◽  
Significant Difference ◽  
The Right

Abstract Purpose: To compare the efficacy and safety of right internal jugular vein (IJV) approach and right innominate vein (INV) approach for US-guided totally implantable venous access devices (TIVADs), and to explore the advantages and disadvantages of the two approaches. Methods: Six hundred and nineteen adult patients had long-term infusion and chemotherapy needs and inconvenience of peripheral venous infusion. Right INV approach was used to implant 339 cases of TIVADs, and right IJV approach was used to implant 280 cases of TIVADs. The success rate of one-time catheterization and the incidence of complications in the two groups were retrospectively analyzed. Results: All patients were successfully implanted in TIVAD. The success rates of one-time puncture in INV group and IJV approach group were 98.53% (334/339) and 95.36% (267/280), respectively. There was significant difference between the two groups (P=0.020). The incidence of perioperative complications was 1.18% (4/339) and the long-term complications was 3.54% (12/339) in the right INV group. The incidence of perioperative complications was 1.43% (4/280) and the long-term complications was 3.93% (11/280) in the right INV group. There was no significant difference in the incidence of complications between the two groups (P=0.785，P=0.799, respectively). Conclusions: US-guided TIVADs via the right INV approach and the right IJV approach are both safe and reliable. The right INV approach improves the one-time puncture success rate, as long as the technique is properly operated, serious complications rarely occur.

scholarly journals Comparison between ultrasound-guided TIVAD via the right innominate vein and the right internal jugular vein approach

BMC Surgery ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Xingwei Sun ◽  
Xuming Bai ◽  
Jiaofeng Shen ◽  
Ziyang Yu ◽  
Zhixiang Zhuang ◽  
...  
Keyword(s):  
Success Rate ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Perioperative Complications ◽  
Innominate Vein ◽  
Success Rates ◽  
Advantages And Disadvantages ◽  
Significant Difference ◽  
The Right

Abstract Background To compare the efficacy and safety of right internal jugular vein (IJV) approach and right innominate vein (INV) approach for US-guided totally implantable venous access devices (TIVADs), and to explore the advantages and disadvantages of the two approaches. Methods Six hundred and nineteen adult patients had long-term infusion and chemotherapy needs and inconvenience of peripheral venous infusion. Right INV approach was used to implant 339 cases of TIVADs, and right IJV approach was used to implant 280 cases of TIVADs. The success rate of one-time catheterization and the incidence of complications in the two groups were retrospectively analyzed. Results All patients were successfully implanted in TIVAD. The success rates of one-time puncture in INV group and IJV approach group were 98.53% (334/339) and 95.36% (267/280), respectively. There was significant difference between the two groups (P = 0.020). The incidence of perioperative complications and long-term complications in the right INV group were 1.18% (4/339) and 3.54% (12/339), respectively, while those in the right IJV group were 1.43% (4280) and 3.93% (11280). There was no significant difference in the incidence of perioperative or long-term complications between the two groups (P = 0.785, P = 0.799, respectively). Conclusions US-guided TIVADs via the right INV approach and the right IJV approach are both safe and reliable. The right INV approach improves the one-time puncture success rate, as long as the technique is properly operated, serious complications rarely occur.

scholarly journals Comparison between Ultrasound-guided TIVAD via the right innominate vein and the right internal jugular vein approach

2019 ◽  
Author(s):  
Xingwei Sun ◽  
Xuming Bai ◽  
Jiaofeng Shen ◽  
Ziyang Yu ◽  
Zhixiang Zhuang ◽  
...  
Keyword(s):  
Success Rate ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Perioperative Complications ◽  
Innominate Vein ◽  
Success Rates ◽  
Advantages And Disadvantages ◽  
Significant Difference ◽  
The Right

Abstract Purpose: To compare the efficacy and safety of right internal jugular vein (IJV) approach and right innominate vein (INV) approach for US-guided totally implantable venous access devices (TIVADs), and to explore the advantages and disadvantages of the two approaches. Methods: Six hundred and nineteen adult patients had long-term infusion and chemotherapy needs and inconvenience of peripheral venous infusion. Right INV approach was used to implant 339 cases of TIVADs, and right IJV approach was used to implant 280 cases of TIVADs. The success rate of one-time catheterization and the incidence of complications in the two groups were retrospectively analyzed. Results: All patients were successfully implanted in TIVAD. The success rates of one-time puncture in INV group and IJV approach group were 98.53% (334/339) and 95.36% (267/280), respectively. There was significant difference between the two groups (P=0.020). The incidence of perioperative complications was 1.18% (4/339) and the long-term complications was 3.54% (12/339) in the right INV group. The incidence of perioperative complications was 1.43% (4/280) and the long-term complications was 3.93% (11/280) in the right INV group. There was no significant difference in the incidence of complications between the two groups (P=0.785，P=0.799, respectively). Conclusions: US-guided TIVADs via the right INV approach and the right IJV approach are both safe and reliable. The right INV approach improves the one-time puncture success rate, as long as the technique is properly operated, serious complications rarely occur.

scholarly journals Comparison between Ultrasound-guided TIVAD via the right innominate vein and the right internal jugular vein approach

2019 ◽  
Author(s):  
Xingwei Sun ◽  
Xuming Bai ◽  
Jiaofeng Shen ◽  
Ziyang Yu ◽  
Zhixiang Zhuang ◽  
...  
Keyword(s):  
Success Rate ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Perioperative Complications ◽  
Innominate Vein ◽  
Success Rates ◽  
Advantages And Disadvantages ◽  
Significant Difference ◽  
The Right

Abstract Purpose: To compare the efficacy and safety of right internal jugular vein (IJV) approach and right innominate vein (INV) approach for US-guided totally implantable venous access devices (TIVADs), and to explore the advantages and disadvantages of the two approaches. Methods: Six hundred and nineteen adult patients had long-term infusion and chemotherapy needs and inconvenience of peripheral venous infusion. Right INV approach was used to implant 339 cases of TIVADs, and right IJV approach was used to implant 280 cases of TIVADs. The success rate of one-time catheterization and the incidence of complications in the two groups were retrospectively analyzed. Results: All patients were successfully implanted in TIVAD. The success rates of one-time puncture in INV group and IJV approach group were 98.53% (334/339) and 95.36% (267/280), respectively. There was significant difference between the two groups (P=0.020). The incidence of perioperative complications was 1.18% (4/339) and the long-term complications was 3.54% (12/339) in the right INV group. The incidence of perioperative complications was 1.43% (4/280) and the long-term complications was 3.93% (11/280) in the right INV group. There was no significant difference in the incidence of complications between the two groups (P=0.785，P=0.799, respectively). Conclusions: US-guided TIVADs via the right INV approach and the right IJV approach are both safe and reliable. The right INV approach improves the one-time puncture success rate, as long as the technique is properly operated, serious complications rarely occur.

scholarly journals Comparison between Ultrasound-guided TIVAD via the right innominate vein and the right internal jugular vein approach

2019 ◽  
Author(s):  
Xingwei Sun ◽  
Xuming Bai ◽  
Jiaofeng Shen ◽  
Ziyang Yu ◽  
Zhixiang Zhuang ◽  
...  
Keyword(s):  
Success Rate ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Perioperative Complications ◽  
Innominate Vein ◽  
Success Rates ◽  
Advantages And Disadvantages ◽  
Significant Difference ◽  
The Right

Abstract Purpose: To compare the efficacy and safety of right internal jugular vein (IJV) approach and right innominate vein (INV) approach for US-guided totally implantable venous access devices (TIVADs), and to explore the advantages and disadvantages of the two approaches. Methods: Six hundred and nineteen adult patients had long-term infusion and chemotherapy needs and inconvenience of peripheral venous infusion. Right INV approach was used to implant 339 cases of TIVADs, and right IJV approach was used to implant 280 cases of TIVADs. The success rate of one-time catheterization and the incidence of complications in the two groups were retrospectively analyzed. Results: All patients were successfully implanted in TIVAD. The success rates of one-time puncture in INV group and IJV approach group were 98.53% (334/339) and 95.36% (267/280), respectively. There was significant difference between the two groups (P=0.020). The incidence of perioperative complications was 1.18% (4/339) and the long-term complications was 3.54% (12/339) in the right INV group. The incidence of perioperative complications was 1.43% (4/280) and the long-term complications was 3.93% (11/280) in the right INV group. There was no significant difference in the incidence of complications between the two groups (P=0.785，P=0.799, respectively). Conclusions: US-guided TIVADs via the right INV approach and the right IJV approach are both safe and reliable. The right INV approach improves the one-time puncture success rate, as long as the technique is properly operated, serious complications rarely occur.

scholarly journals Pulmonary Artery Catheter Seemingly Entrapped in the Skull

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
S. M. Friedman ◽  
G. R. Rajan
Keyword(s):  
Pulmonary Artery ◽  
Pulmonary Disease ◽  
Pulmonary Artery Catheter ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Jugular Foramen ◽  
Surgical Removal ◽  
Introducer Sheath ◽  
Catheter Tip ◽  
The Right

A pulmonary artery catheter is an important tool for the monitoring of hemodynamics in patients. Unfortunately, misplacement of a catheter tip may occur in the vasculature local to the intended placement. Misplacement of the catheter can be further complicated by entrapment at the unintended destination. We present a case of a misplaced and entrapped pulmonary artery catheter in a patient with worsening pulmonary disease. After multiple unsuccessful attempts to float the catheter, it was partially retracted and found to be stuck. Imaging showed the tip terminating in the right internal jugular vein at the level of the jugular foramen. It was initially suspected that the catheter had become looped, knotted, or otherwise entangled within the vasculature of the skull and surgical removal would be necessary. Before surgical removal was performed, it was instead determined that the catheter had become kinked and entrapped at the end of the introducer sheath, and noninvasive removal was accomplished by first removing the introducer sheath.

scholarly journals A double-knotted pulmonary artery catheter with large loop in the right internal jugular vein: A case report

2018 ◽  
Vol 33 (2) ◽  
pp. 240
Author(s):  
Kyoung Sub Yoon ◽  
Jung A Kim ◽  
Jeong In Hong ◽  
Jeong Ho Kim ◽  
Sang Yoong Park ◽  
...  
Keyword(s):  
Case Report ◽  
Pulmonary Artery ◽  
Pulmonary Artery Catheter ◽  
Internal Jugular Vein ◽  
Jugular Vein ◽  
Large Loop ◽  
The Right
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