Perioperative and Postoperative Complications of Supraclavicular, Ultrasound-Guided, Totally Implantable Venous Access Port via the Brachiocephalic Vein in Adult Patients: A Retrospective Multicentre Study
- PMID: 33568912
- PMCID: PMC7869700
- DOI: 10.2147/TCRM.S292230
Perioperative and Postoperative Complications of Supraclavicular, Ultrasound-Guided, Totally Implantable Venous Access Port via the Brachiocephalic Vein in Adult Patients: A Retrospective Multicentre Study
Abstract
Purpose: The totally implantable venous access port (TIVAP) provides patients with safe, effective and long-term convenient venous access for the administration of medications such as chemotherapy drugs. The implantation and long-term use of TIVAP are related to thrombosis, infection and other complications. In this study, the medical records of multicentre patients were collected, and the perioperative and postoperative complications were retrospectively analysed to objectively evaluate the safety of the implantation of supraclavicular, ultrasound-guided TIVAP via the brachiocephalic vein (BCV).
Patients and methods: We retrospectively analysed the clinical data of 433 adult patients who had undergone ultrasound-guided TIVAP implantation via the BCV at four hospitals in China from March 2018 to May 2019. The success rates of the first puncture, operation time, and perioperative and postoperative complications were analysed.
Results: All the TIVAPs were implanted successfully (100%). The average TIVAP carrying time was 318.15 ±44.22 days (range: 38-502 days) for a total of 197,694 catheter days. The success rate of the first puncture was 94.92% (411/433), and the average operation time was 29.66 ±7.45 min (range: 18-60 min). The perioperative complications included arterial puncture in 4 patients and pneumothorax in 1 patient. The incidence of postoperative complications was 5.08% (22/433), including poor incision healing (n = 2), catheter-related infection (n = 3), port infection (n = 6), thrombosis (n = 2) and fibrin sheath formation (n = 8). Another patient had infusion disturbance 2 days after the operation, and chest X-ray showed bending at the connection between the catheter and port. No other serious complications occurred, such as catheter rupture and drug leakage. The total incidence of complications was 6.24% (27/433).
Conclusion: This study showed excellent tolerance of supraclavicular, ultrasound-guided BCV puncture to implant TIVAP and a low incidence of complications. As a safe and effective method of TIVAP implantation, it can provide a new choice for clinicians.
Keywords: brachiocephalic vein; complications; totally implantable venous access ports; ultrasound-guided.
© 2021 Yu et al.
Conflict of interest statement
The authors declare that they have no conflicts of interest for this work.
Figures
Similar articles
-
Perioperative and Postoperative Complications of Ultrasound-Guided Totally Implantable Venous Access Ports via the Brachiocephalic Vein in Patients with Cancer: A Prospective Study.J Cancer. 2021 Jan 1;12(5):1379-1385. doi: 10.7150/jca.55343. eCollection 2021. J Cancer. 2021. PMID: 33531983 Free PMC article.
-
Ultrasound-guided totally implantable venous access ports placement via right brachiocephalic vein in pediatric population: A clinical debut.Pediatr Blood Cancer. 2022 Oct;69(10):e29911. doi: 10.1002/pbc.29911. Epub 2022 Jul 26. Pediatr Blood Cancer. 2022. PMID: 35880972
-
Efficacy and safety of ultrasound-guided totally implantable venous access ports via the right innominate vein in adult patients with cancer: Single-centre experience and protocol.Eur J Surg Oncol. 2019 Feb;45(2):275-278. doi: 10.1016/j.ejso.2018.07.048. Epub 2018 Jul 26. Eur J Surg Oncol. 2019. PMID: 30087070
-
Venous cutdown versus the Seldinger technique for placement of totally implantable venous access ports.Cochrane Database Syst Rev. 2016 Aug 21;2016(8):CD008942. doi: 10.1002/14651858.CD008942.pub2. Cochrane Database Syst Rev. 2016. PMID: 27544827 Free PMC article. Review.
-
A novel incision technique of a totally implanted venous access port in the upper arm for patients with breast cancer.World J Surg Oncol. 2023 May 27;21(1):162. doi: 10.1186/s12957-023-03043-4. World J Surg Oncol. 2023. PMID: 37237419 Free PMC article. Review.
Cited by
-
Pacemaker leads as a potential source of problems in patients who might need a central venous access port.Cardiovasc Diagn Ther. 2023 Dec 15;13(6):1068-1079. doi: 10.21037/cdt-23-104. Epub 2023 Oct 27. Cardiovasc Diagn Ther. 2023. PMID: 38162103 Free PMC article.
-
Silver-Mixed Port Reduces Venous Access Port Related Infection Rate Compared to Non-Silver-mixed Port: A Single-center Retrospective Analysis.Cardiovasc Intervent Radiol. 2023 Dec;46(12):1696-1702. doi: 10.1007/s00270-023-03583-y. Epub 2023 Oct 30. Cardiovasc Intervent Radiol. 2023. PMID: 37902854 Free PMC article.
References
LinkOut - more resources
Full Text Sources
Other Literature Sources
Research Materials