Document Detail


Safety of a totally implantable central venous port system with percutaneous subclavian vein access.
MedLine Citation:
PMID:  23772408     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The role of totally implantable central venous port (TICVP) system is increasing. Implantation performed by radiologist with ultrasound-guided access of vein and fluoroscope-guided positioning of catheter is widely accepted nowadays. In this article, we summarized our experience of TICVP system by surgeon and present the success and complication rate of this surgical method.
MATERIALS AND METHODS: Between March 2009 and December 2010, 245 ports were implanted in 242 patients by surgeon. These procedures were performed with one small skin incision and subcutaneous puncture of subclavian vein. Patient's profiles, indications of port system, early and delayed complications, and implanted period were evaluated.
RESULTS: There were 82 men and 160 women with mean age of 55.74. Port system was implanted on right chest in 203, and left chest in 42 patients. There was no intraoperative complication. Early complications occurred in 11 patients (4.49%) including malposition of catheter tip in 6, malfunction of catheter in 3, and port site infection in 2. Late complication occurred in 12 patients (4.90%).
CONCLUSION: Surgical insertion of TICVP system with percutaneous subclavian venous access is safe procedures with lower complications. Careful insertion of system and skilled management would decrease complication incidence.
Authors:
Dong-Yoon Keum; Jae-Bum Kim; Min-Cheol Chae
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Publication Detail:
Type:  Journal Article     Date:  2013-06-05
Journal Detail:
Title:  The Korean journal of thoracic and cardiovascular surgery     Volume:  46     ISSN:  2233-601X     ISO Abbreviation:  Korean J Thorac Cardiovasc Surg     Publication Date:  2013 Jun 
Date Detail:
Created Date:  2013-06-17     Completed Date:  2013-06-18     Revised Date:  2013-06-21    
Medline Journal Info:
Nlm Unique ID:  101563922     Medline TA:  Korean J Thorac Cardiovasc Surg     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  202-7     Citation Subset:  -    
Affiliation:
Department of Thoracic and Cardiovascular Surgery, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Korea.
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