BACKGROUND AND OBJECTIVES: Vascular access has great importance in the treatment of patients submitted to prolonged chemotherapy. Purpose of this study is to assess the efficacy and safety of the percutaneous insertion and use of totally implantable central venous access ports (TICVAP). METHODS: During a 10-year period, 700 TICVAP were inserted into cancer patients for chemotherapy. Early and late complications and their management were recorded and analyzed. RESULTS: Of the 700 catheters implanted, 126 (18%) presented one or more types of early and late complication. Removal of 262 catheters was performed, of which 216 (82.4%) were elective indications due to the termination of the treatment and 46 (17.6%) resulted from complications that could not be controlled using clinical measures. In 280 patients (40%), the catheter remained functional until the patient's death, and 158 patients (22.5%) are still making use of their catheters for clinical treatment. CONCLUSIONS: The low rate of complications according to this study confirms the safety and convenience of the percutaneous insertion and use of TICVAP in patients undergoing prolonged chemotherapy regimens and explains the increasing use of these devices in current medical oncology practice.
BACKGROUND AND OBJECTIVES: Vascular access has great importance in the treatment of patients submitted to prolonged chemotherapy. Purpose of this study is to assess the efficacy and safety of the percutaneous insertion and use of totally implantable central venous access ports (TICVAP). METHODS: During a 10-year period, 700 TICVAP were inserted into cancerpatients for chemotherapy. Early and late complications and their management were recorded and analyzed. RESULTS: Of the 700 catheters implanted, 126 (18%) presented one or more types of early and late complication. Removal of 262 catheters was performed, of which 216 (82.4%) were elective indications due to the termination of the treatment and 46 (17.6%) resulted from complications that could not be controlled using clinical measures. In 280 patients (40%), the catheter remained functional until the patient's death, and 158 patients (22.5%) are still making use of their catheters for clinical treatment. CONCLUSIONS: The low rate of complications according to this study confirms the safety and convenience of the percutaneous insertion and use of TICVAP in patients undergoing prolonged chemotherapy regimens and explains the increasing use of these devices in current medical oncology practice.
Authors: Philomena C D'Souza; Shiyam Kumar; Annupam Kakaria; Rashid Al-Sukaiti; Khalid Al-Baimani; Rana S Hamid; Alok K Mittal; Muna Al-Balushi; Ikram A Burney; Mansour S Al-Moundhri Journal: Sultan Qaboos Univ Med J Date: 2021-03-15
Authors: Marie Lecronier; Sandrine Valade; Naike Bigé; Nicolas de Prost; Damien Roux; David Lebeaux; Eric Maury; Elie Azoulay; Alexandre Demoule; Martin Dres Journal: Ann Intensive Care Date: 2018-03-27 Impact factor: 6.925
Authors: E Chu; D Haller; T Cartwright; C Twelves; J Cassidy; W Sun; M W Saif; E McKenna; S Lee; H-J Schmoll Journal: Br J Cancer Date: 2014-02-18 Impact factor: 7.640