OBJECTIVES: The objectives are to analyze the technical success rate as well as the short-term and long-term complications of totally implantable venous access ports (TIVAPs) at the forearm. METHODS: Retrospective analysis of 1,704 consecutively implanted TIVAPs was performed. Primary endpoints were defined as technical success rate, clinical outcome, device service interval, and rates of major complications. Minor complications not requiring port explantation were defined as secondary endpoints. RESULTS: The technical success rate was 99.2 % with no major complications. During follow-up, a total of 643,200 catheter-days were documented, the mean device service interval was 380.6 days/patient. A total of 243 complications (14.4 %) in 226 patients were observed (0.4/1000 catheter-days), in 140 patients (8.3 %) the port device had to be explanted. Disconnection between the port device and the catheter (1.6 %) was more frequent than fracture (0.8 %) and leakage (0.6 %) of the catheter, which occurred more frequently when the catheter was inserted via the cephalic versus the brachial vein. CONCLUSION: TIVAP implantation at the forearm is a simple and safe procedure with a low rate of early and late complications.
OBJECTIVES: The objectives are to analyze the technical success rate as well as the short-term and long-term complications of totally implantable venous access ports (TIVAPs) at the forearm. METHODS: Retrospective analysis of 1,704 consecutively implanted TIVAPs was performed. Primary endpoints were defined as technical success rate, clinical outcome, device service interval, and rates of major complications. Minor complications not requiring port explantation were defined as secondary endpoints. RESULTS: The technical success rate was 99.2 % with no major complications. During follow-up, a total of 643,200 catheter-days were documented, the mean device service interval was 380.6 days/patient. A total of 243 complications (14.4 %) in 226 patients were observed (0.4/1000 catheter-days), in 140 patients (8.3 %) the port device had to be explanted. Disconnection between the port device and the catheter (1.6 %) was more frequent than fracture (0.8 %) and leakage (0.6 %) of the catheter, which occurred more frequently when the catheter was inserted via the cephalic versus the brachial vein. CONCLUSION: TIVAP implantation at the forearm is a simple and safe procedure with a low rate of early and late complications.
Authors: Jan Peter Goltz; Bernhard Petritsch; Johannes Kirchner; Dietbert Hahn; Ralph Kickuth Journal: Support Care Cancer Date: 2012-07-25 Impact factor: 3.603
Authors: H Kreis; C R Loehberg; M P Lux; S Ackermann; W Lang; M W Beckmann; P A Fasching Journal: Eur J Surg Oncol Date: 2006-10-09 Impact factor: 4.424
Authors: Jo Caers; Christel Fontaine; Vincent Vinh-Hung; Johan De Mey; Gerrit Ponnet; Chris Oost; Jan Lamote; Jacques De Greve; Benjamin Van Camp; Patrick Lacor Journal: Support Care Cancer Date: 2004-11-05 Impact factor: 3.603
Authors: Jacquelyn L Baskin; Ching-Hon Pui; Ulrike Reiss; Judith A Wilimas; Monika L Metzger; Raul C Ribeiro; Scott C Howard Journal: Lancet Date: 2009-07-11 Impact factor: 79.321
Authors: Pierre-Yves Marcy; Nicolas Magné; Pierre Castadot; Antoine Italiano; Nicolas Amoretti; Cédric Bailet; Franck Bentolila; Jean-Claude Gallard Journal: Cancer Date: 2007-11-15 Impact factor: 6.860
Authors: Karolin J Paprottka; Jana Voelklein; Tobias Waggershauser; Maximilian F Reiser; Philipp M Paprottka Journal: Radiol Med Date: 2019-06-07 Impact factor: 3.469
Authors: Jonathan Nadjiri; Tobias Geith; Tobias Waggershauser; Stephan Forster; Philipp Paprottka Journal: PLoS One Date: 2021-10-26 Impact factor: 3.240