| Totally implantable venous catheters for chemotherapy: experience in 500 patients. | |
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MedLine Citation:
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PMID: 15543368 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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CONTEXT: Totally implantable devices are increasingly being utilized for chemotherapy treatment of oncological patients, although few studies have been done in our environment to analyze the results obtained from the implantation and utilization of such catheters. OBJECTIVE: To study the results obtained from the implantation of totally implantable catheters in patients submitted to chemotherapy. TYPE OF STUDY: Prospective. SETTING: Hospital do Cancer A.C. Camargo, Sao Paulo, Brazil. METHODS: 519 totally implantable catheters were placed in 500 patients submitted to chemotherapy, with preference for the use of the right external jugular vein. Evaluations were made of the early and late-stage complications and patient evolution until removal of the device, death or the end of the treatment. RESULTS: The prospective analysis showed an average duration of 353 days for the catheters. There were 427 (82.2%) catheters with no complications. Among the early complications observed, there were 15 pathway hematomas, 8 cases of thrombophlebitis of the distal stump of the external jugular vein and one case of pocket infection. Among the late-stage complications observed, there were 43 infectious complications (0.23/1000 days of catheter use), 11 obstructions (0.06/1000 days of catheter use) and 14 cases of deep vein thrombosis (0.07/1000 days of catheter use). Removal of 101 catheters was performed: 35 due to complications and 66 upon terminating the treatment. A total of 240 patients died while the catheter was functioning and 178 patients are still making use of the catheter. CONCLUSION: The low rate of complications obtained in this study confirms the safety and convenience of the use of totally implantable accesses in patients undergoing prolonged chemotherapy regimes. |
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Authors:
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Nelson Wolosker; Guilherme Yazbek; Kenji Nishinari; Luiz Caetano Malavolta; Marco Antonio Munia; Marcel Langer; Antonio Eduardo Zerati |
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Publication Detail:
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Type: Journal Article Date: 2004-11-09 |
Journal Detail:
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Title: São Paulo medical journal = Revista paulista de medicina Volume: 122 ISSN: 1516-3180 ISO Abbreviation: Sao Paulo Med J Publication Date: 2004 Jul |
Date Detail:
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Created Date: 2004-11-15 Completed Date: 2005-04-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100897261 Medline TA: Sao Paulo Med J Country: Brazil |
Other Details:
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Languages: eng Pagination: 147-51 Citation Subset: IM |
Affiliation:
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Hospital do Câncer, Fundação A. C. Camargo, São Paulo, Brazil. nwolosker@yahoo.com.br |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Antineoplastic Agents / administration & dosage* Catheterization, Central Venous / adverse effects*, methods Catheters, Indwelling / adverse effects*, standards Female Humans Jugular Veins Male Middle Aged Neoplasms / drug therapy* Prospective Studies Treatment Outcome Venous Thrombosis / etiology |
| Chemical | |
Reg. No./Substance:
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0/Antineoplastic Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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