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...
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Format: | Article |
Language: | English |
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Elsevier
2024-03-01
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Series: | Surgery in Practice and Science |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2666262024000044 |
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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 |
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institution | Directory Open Access Journal |
issn | 2666-2620 |
language | English |
last_indexed | 2024-04-25T01:11:35Z |
publishDate | 2024-03-01 |
publisher | Elsevier |
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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 |
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