| Central venous infusion port inserted via high versus low jugular venous approaches: retrospective comparison of outcome and complications. | |
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MedLine Citation:
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PMID: 19200682 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To retrospectively compare immediate and long-term outcome of central venous infusion port inserted via right high versus low jugular vein approaches. MATERIALS AND METHODS: The study included 163 patients (125 women patients, 38 men patients; age range, 18-79 years; mean age, 53 years); 142 patients underwent port insertion with low jugular vein approach and 21 patients with high jugular vein approach. The causes of high jugular vein puncture were metastatic lymphadenopathy (n=7), operation scar (n=6), radiation scar (n=5), failure of low jugular vein puncture (n=2), and abnormal course of right subclavian artery (n=1). Medical records and radiologic studies were reviewed retrospectively to determine and compare the outcome and the occurrence of complication related to port. RESULTS: The procedure-related complications were all minor (n=14, 8.6%) in both groups; hematoma (n=4, 2.8% in low jugular puncture group and n=1, 4.8% in high jugular puncture group, p=0.6295), air embolism (n=2, 1.4% in low jugular puncture group and n=0 in high jugular puncture group, p=0.5842) and minor bleeding (n=5, 3.5% in low jugular vein puncture group and n=2, 9.5% in high jugular vein puncture group, p=0.2054). The average length of follow-up was 431 days for low jugular vein puncture group and 284 days for high jugular vein puncture group. The difference between two groups was significant (p=0.0349). The reasons for catheter removal were patients' death (59 in low jugular puncture group and 14 in high jugular puncture group, p=0.0465), suspected infection (11 in low jugular vein puncture group and 2 in high jugular vein puncture group, p=0.8242), catheter occlusion (four in low jugular vein puncture group and one in high jugular vein puncture group, p=0.6583). The catheter tip migrated upward an average of 1.86 cm (range, -0.5 to 5.0 cm) in low jugular vein puncture group and 1.56 cm (range, 0-3.6 cm) in high jugular vein puncture group and there was no significant difference (p=0.4232). CONCLUSIONS: Right high jugular vein approach can be a feasible alternative to right low jugular vein approach. |
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Authors:
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Hong Suk Park; Young Il Kim; Sang Hyun Lee; Jung Im Kim; Hyobin Seo; Sang Min Lee; Youkyung Lee; Min Kyung Lim; Young Suk Park |
Publication Detail:
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Type: Clinical Trial; Journal Article Date: 2009-02-05 |
Journal Detail:
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Title: European journal of radiology Volume: 72 ISSN: 1872-7727 ISO Abbreviation: Eur J Radiol Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2009-11-25 Completed Date: 2010-02-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8106411 Medline TA: Eur J Radiol Country: Ireland |
Other Details:
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Languages: eng Pagination: 494-8 Citation Subset: IM |
Affiliation:
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Research Institute and Hospital, National Cancer Center, Goyang-si, Gyeonggi-do 411-764, Republic of Korea. hpark@dreamwiz.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Catheterization, Central Venous / adverse effects*, methods* Female Humans Infusions, Intravenous / adverse effects*, methods* Jugular Veins / ultrasonography* Male Middle Aged Prosthesis-Related Infections / etiology*, ultrasonography Retrospective Studies Treatment Outcome Wounds, Penetrating / etiology*, ultrasonography Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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