Totally implantable venous access devices: A restrospective analysis of morbidity and risk factors in a hospital with multi-technique approaches
Background: Totally implantable venous central access devices (TIVADs) can be implanted by open surgery or by direct puncture in the subclavian (ScV), internal jugular (IJV) or cephalic (CephV) veins. Methods: A retrospective study was conducted in 201 patients. Thirty-day follow-up data was analyze...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-03-01
|
| Series: | Surgery in Practice and Science |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666262024000044 |
| _version_ | 1797267123345555456 |
|---|---|
| author | Diogo Melo-Pinto Tatiana Moreira-Marques Emanuel Guerreiro Marina Morais |
| author_facet | Diogo Melo-Pinto Tatiana Moreira-Marques Emanuel Guerreiro Marina Morais |
| author_sort | Diogo Melo-Pinto |
| collection | DOAJ |
| description | Background: Totally implantable venous central access devices (TIVADs) can be implanted by open surgery or by direct puncture in the subclavian (ScV), internal jugular (IJV) or cephalic (CephV) veins. Methods: A retrospective study was conducted in 201 patients. Thirty-day follow-up data was analyzed to compare the outcomes of different techniques and evaluation of risk factors. Results: Complications were reported in 3.8 % of the patients with no overall differences between different vascular accesses. Direct puncture was associated with more accidental arterial punction (p = 0.01). History of previous catheters was a risk factor for immediate complications (p = 0.01) and patients with history of thoracic disease had more early and late complications (p = 0.03 and p = 0.04, respectively). Late complications were more common in patients over 60 years old (p = 0.04) and with chronic pain (p = 0.03). Conclusion: There was no difference in overall complication rates between the implantation techniques. Further prospective randomized controlled trials would clarify the most effective technique. |
| first_indexed | 2024-03-07T21:52:25Z |
| format | Article |
| id | doaj.art-846c1ca5b9e245b48d22ecda39fdd49d |
| institution | Directory Open Access Journal |
| issn | 2666-2620 |
| language | English |
| last_indexed | 2024-04-25T01:11:35Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Surgery in Practice and Science |
| spelling | doaj.art-846c1ca5b9e245b48d22ecda39fdd49d2024-03-10T05:13:13ZengElsevierSurgery in Practice and Science2666-26202024-03-0116100237Totally implantable venous access devices: A restrospective analysis of morbidity and risk factors in a hospital with multi-technique approachesDiogo Melo-Pinto0Tatiana Moreira-Marques1Emanuel Guerreiro2Marina Morais3Surgery Department, Hospital Pedro Hispano, R. de Dr. Eduardo Torres, Matosinhos, Senhora da Hora 4464-513, Portugal; Corresponding author.Surgery Department, Hospital Pedro Hispano, R. de Dr. Eduardo Torres, Matosinhos, Senhora da Hora 4464-513, PortugalSurgery Department, Hospital Pedro Hispano, R. de Dr. Eduardo Torres, Matosinhos, Senhora da Hora 4464-513, PortugalSurgery Department, Hospital Pedro Hispano, R. de Dr. Eduardo Torres, Matosinhos, Senhora da Hora 4464-513, Portugal; Surgery Department, Faculty of Medicine, University of Porto, Porto, PortugalBackground: Totally implantable venous central access devices (TIVADs) can be implanted by open surgery or by direct puncture in the subclavian (ScV), internal jugular (IJV) or cephalic (CephV) veins. Methods: A retrospective study was conducted in 201 patients. Thirty-day follow-up data was analyzed to compare the outcomes of different techniques and evaluation of risk factors. Results: Complications were reported in 3.8 % of the patients with no overall differences between different vascular accesses. Direct puncture was associated with more accidental arterial punction (p = 0.01). History of previous catheters was a risk factor for immediate complications (p = 0.01) and patients with history of thoracic disease had more early and late complications (p = 0.03 and p = 0.04, respectively). Late complications were more common in patients over 60 years old (p = 0.04) and with chronic pain (p = 0.03). Conclusion: There was no difference in overall complication rates between the implantation techniques. Further prospective randomized controlled trials would clarify the most effective technique.http://www.sciencedirect.com/science/article/pii/S2666262024000044TIVADChemotherapyVascular access |
| spellingShingle | Diogo Melo-Pinto Tatiana Moreira-Marques Emanuel Guerreiro Marina Morais Totally implantable venous access devices: A restrospective analysis of morbidity and risk factors in a hospital with multi-technique approaches Surgery in Practice and Science TIVAD Chemotherapy Vascular access |
| title | Totally implantable venous access devices: A restrospective analysis of morbidity and risk factors in a hospital with multi-technique approaches |
| title_full | Totally implantable venous access devices: A restrospective analysis of morbidity and risk factors in a hospital with multi-technique approaches |
| title_fullStr | Totally implantable venous access devices: A restrospective analysis of morbidity and risk factors in a hospital with multi-technique approaches |
| title_full_unstemmed | Totally implantable venous access devices: A restrospective analysis of morbidity and risk factors in a hospital with multi-technique approaches |
| title_short | Totally implantable venous access devices: A restrospective analysis of morbidity and risk factors in a hospital with multi-technique approaches |
| title_sort | totally implantable venous access devices a restrospective analysis of morbidity and risk factors in a hospital with multi technique approaches |
| topic | TIVAD Chemotherapy Vascular access |
| url | http://www.sciencedirect.com/science/article/pii/S2666262024000044 |
| work_keys_str_mv | AT diogomelopinto totallyimplantablevenousaccessdevicesarestrospectiveanalysisofmorbidityandriskfactorsinahospitalwithmultitechniqueapproaches AT tatianamoreiramarques totallyimplantablevenousaccessdevicesarestrospectiveanalysisofmorbidityandriskfactorsinahospitalwithmultitechniqueapproaches AT emanuelguerreiro totallyimplantablevenousaccessdevicesarestrospectiveanalysisofmorbidityandriskfactorsinahospitalwithmultitechniqueapproaches AT marinamorais totallyimplantablevenousaccessdevicesarestrospectiveanalysisofmorbidityandriskfactorsinahospitalwithmultitechniqueapproaches |