Transesophageal echocardiography-guided implantation of totally implantable venous access devices via the internal jugular vein: retrospective analysis of 297 cases in pediatric patients
Abstract Background Accurately positioning totally implantable venous access device (TIVAD) catheters and reducing complications in pediatric patients are important and challenging. A number of studies have shown methods for locating the tip of the TIVAD catheter. We assessed the success and complic...
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| Format: | Article |
| Language: | English |
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BMC
2022-08-01
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| Series: | World Journal of Surgical Oncology |
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| Online Access: | https://doi.org/10.1186/s12957-022-02734-8 |
| _version_ | 1828114210065743872 |
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| author | Yuanzhen Chen Dajun Xing Lixin Wu Huatian Lin Ting Lin Fang Ding Liang Xu |
| author_facet | Yuanzhen Chen Dajun Xing Lixin Wu Huatian Lin Ting Lin Fang Ding Liang Xu |
| author_sort | Yuanzhen Chen |
| collection | DOAJ |
| description | Abstract Background Accurately positioning totally implantable venous access device (TIVAD) catheters and reducing complications in pediatric patients are important and challenging. A number of studies have shown methods for locating the tip of the TIVAD catheter. We assessed the success and complications of TIVAD implantation guided by transesophageal echocardiography (TEE) via the internal jugular vein (IJV) for 294 patients in this retrospective study. Methods From May 2019 to March 2021, 297 cases of TIVADs in our hospital were analyzed in this observational, non-randomized, single-center study. The position of the catheter tip under TEE and chest radiography and rates of periprocedural, early, and late complications were evaluated. Results The implantation was successful in 242 (82.3%) cases which was in a proper position, and the results were consistent with those of postoperative chest radiography. A total of 72 complications were recorded. Of these, 1 case had a perioperative complication, 66 had early complications, and 5 had late complications after port implantation. The most common complications were local infection and catheter malposition, namely 10 (13.9%) cases of incision infection and 58 (80.6%) cases of catheter malposition. In total, 6 (8.3%) cases of port explantation were required. Conclusion Confirmation of proper TIVAD catheter positioning by TEE through an internal jugular approach in children was accurate and safe. |
| first_indexed | 2024-04-11T12:22:29Z |
| format | Article |
| id | doaj.art-3d690965f7584d48ad47dac11752dbc3 |
| institution | Directory Open Access Journal |
| issn | 1477-7819 |
| language | English |
| last_indexed | 2024-04-11T12:22:29Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
| record_format | Article |
| series | World Journal of Surgical Oncology |
| spelling | doaj.art-3d690965f7584d48ad47dac11752dbc32022-12-22T04:24:04ZengBMCWorld Journal of Surgical Oncology1477-78192022-08-012011910.1186/s12957-022-02734-8Transesophageal echocardiography-guided implantation of totally implantable venous access devices via the internal jugular vein: retrospective analysis of 297 cases in pediatric patientsYuanzhen Chen0Dajun Xing1Lixin Wu2Huatian Lin3Ting Lin4Fang Ding5Liang Xu6Department of Anesthesiology, Shenzhen Children’s HospitalDepartment of Anesthesiology, Shenzhen Children’s HospitalDepartment of Anesthesiology, Shenzhen Children’s HospitalDepartment of Anesthesiology, Shenzhen Children’s HospitalDepartment of Anesthesiology, Shenzhen Children’s HospitalDepartment of Anesthesiology, Shenzhen Children’s HospitalDepartment of Anesthesiology, Shenzhen Children’s HospitalAbstract Background Accurately positioning totally implantable venous access device (TIVAD) catheters and reducing complications in pediatric patients are important and challenging. A number of studies have shown methods for locating the tip of the TIVAD catheter. We assessed the success and complications of TIVAD implantation guided by transesophageal echocardiography (TEE) via the internal jugular vein (IJV) for 294 patients in this retrospective study. Methods From May 2019 to March 2021, 297 cases of TIVADs in our hospital were analyzed in this observational, non-randomized, single-center study. The position of the catheter tip under TEE and chest radiography and rates of periprocedural, early, and late complications were evaluated. Results The implantation was successful in 242 (82.3%) cases which was in a proper position, and the results were consistent with those of postoperative chest radiography. A total of 72 complications were recorded. Of these, 1 case had a perioperative complication, 66 had early complications, and 5 had late complications after port implantation. The most common complications were local infection and catheter malposition, namely 10 (13.9%) cases of incision infection and 58 (80.6%) cases of catheter malposition. In total, 6 (8.3%) cases of port explantation were required. Conclusion Confirmation of proper TIVAD catheter positioning by TEE through an internal jugular approach in children was accurate and safe.https://doi.org/10.1186/s12957-022-02734-8Totally implantable venous access device (TIVAD)Transesophageal echocardiography (TEE)ComplicationCatheter tip positionChest radiography |
| spellingShingle | Yuanzhen Chen Dajun Xing Lixin Wu Huatian Lin Ting Lin Fang Ding Liang Xu Transesophageal echocardiography-guided implantation of totally implantable venous access devices via the internal jugular vein: retrospective analysis of 297 cases in pediatric patients World Journal of Surgical Oncology Totally implantable venous access device (TIVAD) Transesophageal echocardiography (TEE) Complication Catheter tip position Chest radiography |
| title | Transesophageal echocardiography-guided implantation of totally implantable venous access devices via the internal jugular vein: retrospective analysis of 297 cases in pediatric patients |
| title_full | Transesophageal echocardiography-guided implantation of totally implantable venous access devices via the internal jugular vein: retrospective analysis of 297 cases in pediatric patients |
| title_fullStr | Transesophageal echocardiography-guided implantation of totally implantable venous access devices via the internal jugular vein: retrospective analysis of 297 cases in pediatric patients |
| title_full_unstemmed | Transesophageal echocardiography-guided implantation of totally implantable venous access devices via the internal jugular vein: retrospective analysis of 297 cases in pediatric patients |
| title_short | Transesophageal echocardiography-guided implantation of totally implantable venous access devices via the internal jugular vein: retrospective analysis of 297 cases in pediatric patients |
| title_sort | transesophageal echocardiography guided implantation of totally implantable venous access devices via the internal jugular vein retrospective analysis of 297 cases in pediatric patients |
| topic | Totally implantable venous access device (TIVAD) Transesophageal echocardiography (TEE) Complication Catheter tip position Chest radiography |
| url | https://doi.org/10.1186/s12957-022-02734-8 |
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