nach oben

European Radiology

Erschienen in:

01.10.2008 | Oncology

Central venous access: techniques and indications in oncology

verfasst von: Pierre-Yves Marcy

Erschienen in: European Radiology | Ausgabe 10/2008

Einloggen, um Zugang zu erhalten

Abstract

Long lines can be inserted centrally or peripherally through patent veins into the central venous system down to the atrial caval junction. Traditionally surgeons, anesthetists, cardiologists and more recently interventional radiologists have been placing them using vein cutdown or percutaneous needle puncture techniques. Typical candidates for implanted venous catheters are cancer patients undergoing long-term chemotherapy. The most important issues, in addition to the patency of central veins and the history of previous indwelling catheters, pacewires or venous thrombosis, are the patient’s performance status, body mass index, medical history and respiratory status, and the relevant technique. The present article will give an overview of the radiological and surgical implantation techniques and will highlight the impact of imaging means on the technical feasibility, assessment and treatment of device-related complications.

Fang CC, Jao YT, Han SC, Wang SP (2007) Persistent left superior vena cava: multi-slice CT images and report of a case. Int J Cardiol 1:21:112–114PubMedCrossRef

Denys BG, Uretsky BF, Reddy PS (1993) Ultrasound-assisted cannulation of the internal jugular vein: a prospective comparison to the external landmark-guided technique. Circulation 87:1557–1562PubMed

Farrell J, Gellens M (1997) Ultrasound-guided cannulation versus the landmark-guided technique for acute haemodialysis access. Nephrol Dial Transplant 12:1234–1237PubMedCrossRef

Hind D, Calvert N, Mc Williams R, Davidson A, Paisley S, Beverley C, Thomas S (2003) Ultrasonic locating devices for central venous cannulation: meta-analysis. BMJ 327(7411):361PubMedCrossRef

Marcy PY, Magné N, Castadot P, Italiano A, Amoretti N, Bailet C, Bentolila F, Gallard JC (2007) Is radiologic placement of an arm port mandatory in oncology patients?: analysis of a large bi-institutional experience. Cancer 110:2331–2338PubMedCrossRef

Vardy J, Engelhardt K, Cox K, Jacquet J, McDade A, Boyer M, Beale P, Stockler M, Loneragan R, Dennien B, Waugh R, Clarke SJ (2004) Long-term outcome of radiological-guided insertion of implanted central venous access port devices (CVAPD) for the delivery of chemotherapy in cancer patients: institutional experience and review of the literature. Br J Cancer 91:1045–1049PubMed

Povoski SP, Zaman SA (2002) Selective use of preoperative venous duplex ultrasound and intraoperative venography for central venous access device placement in cancer patients. Ann Surg Oncol 9:493–499PubMedCrossRef

Aspelin P, Aubry P, Fransson SG, Strasser R, Willenbrock R, Berg KJ (2003) Nephrotoxicity in high-risk patients study of iso-osmolar and low-osmolar non-ionic contrast media study investigators. N Engl J Med 348:491–499PubMedCrossRef

Marcy PY, Chamorey E, Amoretti N, Benezery K, Bensadoun RJ, Bozec A, Poissonnet G, Dassonville O, Rame M, Italiano A, Peyrade F, Brenac F, Gallard JC (2007) A comparison between distal and proximal port device insertion in head and neck cancer. Eur J Surg Oncol Epub November 5, DOI 10.1016/j.ejso.2007.09.011

10.

Marcy PY, Magne N, Castadot P, Bailet C, Macchiavello JC, Namer M, Gallard JC (2005) Radiological and surgical placement of port devices: a 4-year institutional analysis of procedure performance, quality of life and cost in breast cancer patients. Breast Cancer Res Treat 92:61–67PubMedCrossRef

11.

Mallory DK, McGee WT, Shawker TH, Brenner M, Bailey KR, Evans RG, Parker MM, Farmer JC, Parillo JE (1990) Ultrasound guidance improves the success rate of internal jugular vein cannulation. A prospective, randomized trial. Chest 98:157–160PubMedCrossRef

12.

Funaki B, Szymski GX, Hackworth CA, Rosenblum JD, Burke R, Chang T, Leef JA (1997) Radiologic placement of subcutaneous infusion chest ports for long-term central venous access. AJR Am J Roentgenol 169:1431–1434PubMed

13.

Cil BE, Canyigit M, Peynircioglu B, Hazirolan T, Carkaci S, Cekirge S, Balkanci F (2006) Subcutaneous venous port implantation in adult patients: a single center experience. Diagn Interv Radiol 12:93–98PubMed

14.

Sulek CA, Blas ML, Lobato EB (2000) A randomized study of left versus right internal jugular vein cannulation in adults. J Clin Anesth 12:142–145PubMedCrossRef

15.

Charvat J, Linke Z, Horaekova M, Prausova J (2006) Implantation of central venous ports with catheter insertion via the right internal jugular vein in oncology patients: single center experience. Support Care Cancer 14:1162–1165PubMedCrossRef

16.

Lee SH, Hahn ST (2005) Comparison of complications between transjugular and axillosubclavian approach for placement of tunneled, central venous catheters in patients with hematological malignancy: a prospective study. Eur Radiol 15:1100–1104PubMedCrossRef

17.

Trerotola SO, Kuhn-Fulton J, Johnson MS, Shah H, Ambrosius WT, Kneebone PH (2000) Tunneled infusion catheters: increased incidence of symptomatic venous thrombosis after subclavian versus internal jugular venous access. Radiology 217:89–93PubMed

18.

Patel MC, Berman LH, Moss HA, McPherson SJ (1999) Subclavian and internal jugular veins at Doppler US: abnormal cardiac pulsatility and respiratory phasicity as a predictor of complete central occlusion. Radiology 211:579–583PubMed

19.

Aldrighetti L, Paganelli M, Arru M, Caterini R, Ronzoni M, Ferla G (2000) Complications of blind placement in 980 subcutaneous infusion ports. J Vasc Access 1:28–32PubMed

20.

Schwarz RE, Groeger JS, Coit DG (1997) Subcutaneously implanted central venous access devices in cancer patients: a prospective analysis. Cancer 79:1635–1640PubMedCrossRef

21.

Nevarre DR, Domingo OH (1997) Supraclavicular approach to subclavian catheterization: review of the literature and results of 178 attempts by the same operator. J Trauma 42:305–309PubMed

22.

Zahringer M, Hilgers J, Kruger K, Strohe D, Bangard C, Neumann L, Warm M, Reiser M, Tox U, Lackner KO (2006) Ultrasound guided implantation of chest port systems via the lateral subclavian vein. Rofo 178:324–329PubMed

23.

Hinke DH, Zandt-Stastny DA, Goodman LR, Quebbeman EJ, Krzywda EA, Andris DA (1990) Pinch-off syndrome: a complication of implantable subclavian venous access devices. Radiology 177:353–356PubMed

24.

Lyon RD, Griggs KA, Johnson AM, Olsen JR (1999) Long-term follow-up of upper extremity implanted venous access devices in oncology patients. J Vasc Interv Radiol 10:463–471PubMedCrossRef

25.

Hata Y, Morita S, Morita Y, Awatani T, Takasaki M, Horimi T, Ozawa Z (1998) Peripheral insertion of a central venous access device under fluoroscopic guidance using a peripherally accessed system (PAS) port in the forearm. Cardiovasc Interv Radiol 21:230–233CrossRef

26.

Allen AW, Megargell JL, Brown DB, Lynch FC, Singh H, Singh Y, Waybill PN (2000) Venous thrombosis associated with the placement of peripherally inserted central catheters. J Vasc Interv Radiol 11:1309–1314PubMedCrossRef

27.

Marcy PY, Italiano A (2007) The percutaneous radiological correction rate Is 0.5% in upper extremity port device cancer patients. Cardiovasc Intervent Radiol; Epub October 25, DOI 10.1007/s00270–007–9212–5

28.

Puel V, Caudry M, Le Metayer P, Baste JC, Midy D, Marsault C, Demeaux H, Maire JP (1993) Superior vena cava thrombosis related to catheter malposition in cancer chemotherapy given through implanted ports. Cancer 72:2248–2252PubMedCrossRef

29.

Conwell JA, Cocalis MW, Erickson LC (1993) EAT to the beat: “ectopic” atrial tachycardia caused by catheter whip. Lancet 342:740PubMedCrossRef

30.

Towbin R (2007) The bowed catheter sign: a risk for pericardial tamponade. Pediatr Radiol Epub Nov 20, DOI 10.1007/s00247–007–0674-z

31.

Kock HJ, Pietsch M, Krause U, Wilke H, Eigler FW (1998) Implantable vascular access systems: experience in 1500 patients with totally implanted central venous port systems. World J Surg 22:12–16PubMedCrossRef

32.

Lersch C, Eckel F, Sader R, Paschalidis M, Zeilhofer F, Schulte-Frohlinde E, Theiss W (1999) Initial experience with Healthport miniMax and other peripheral arm ports in patients with advanced gastrointestinal malignancy. Oncology 57:269–275PubMedCrossRef

33.

Chang HM, Hsieh CB, Hsieh HF, Chen TW, Chen CJ, Chan DC, Yu JC, Liu YC, Shen KL (2006) An alternative technique for totally implantable central venous access devices. A retrospective study of 1311 cases. Eur J Surg Oncol 32:90–93PubMedCrossRef

34.

Shetty PC, Mody MK, Kastan DJ, Sharma RP, Burke MW, Matthew W, Venugopal C, Burke T (1997) Outcome of 350 implanted chest ports placed by interventional radiologists. J Vasc Interv Radiol 8:991–995PubMedCrossRef

35.

Kuter DJ (2004) Thrombotic complications of central venous catheters in cancer patients. Oncologist 9:207–216PubMedCrossRef

36.

Denny DF (1993) Placement and management of long-term central venous access catheters and ports. AJR Am J Roentgenol 161:385–393PubMed

37.

Gebauer B, Teichgräber UK, Podrabsky P, Werk M, Hänninen EL, Felix R (2007) Radiological interventions for correction of central venous port catheter migrations. Cardiovasc Interv Radiol 30:668–674CrossRef

38.

Bessoud B, de Baere T, Kuoch V, Desruennes E, Cosset MF, Lassau N, Roche A (2003) Experience at a single institution with endovascular treatment of mechanical complications caused by implanted central venous access devices in pediatric and adult patients. AJR 180:527–532PubMed

39.

Inoue Y, Miyazaki N, Shimuzu Y, Soh H, Fujita S, Takao T (2000) Indwelling catheter retraction because of pendulous breast. JPEN J Parenter Entrel Nutr 4:251–253CrossRef

40.

Nazarian GK, Bjarnasan H, Dietz CA, Bernadas CA, Hunter DW (1997) Changes in tunnelled catheter tip position when a patient is upright. J Vasc Interv Radiol 8:437–441PubMedCrossRef

41.

Forauer AR, Alonzo M (2000) Change in peripherally inserted central catheter tip position with abduction and adduction of the upper extremity. J Vasc Interv Radiol 11:1315–1318PubMedCrossRef

42.

Quattrocchi CC, Sammarra M, Carassiti M, Vincenzi B, Tonini G, Grasso RF, Zobel BB (2006) Azygo-tracheal fistula in a complete implantable central venous system. J Clin Oncol 24:4029–4031PubMedCrossRef

43.

Winston CB, Wechsler RJ, Kane M (1994) Vertebral vein migration of long-term central venous access catheter: a cause of brachial plexopathy. J Thorac Imaging 9:98–100PubMedCrossRef

44.

Denny MA, Frank LR (2003) Ventricular tachycardia secondary to Port-a-Cath fracture and embolization. J Emerg Med 24:29–34PubMedCrossRef

45.

Ouaknine-Orlando B, Desruennes E, Cosset MF, De Baere T, Roche A (1999) The pinch-off syndrome: main cause of catheter embolism. Ann Fr Anesth Reanim 18:949–955PubMed

46.

Vorwerk D (2002) Non-traumatic vascular emergencies: management of occluded hemodialysis shunts and venous access. Eur Radiol 12:2644–2650PubMed

47.

Thony F, Moro D, Ferretti G, Ranchoup Y, Witmeyer P, Brambilla C, Coulomb M (1999) Endovascular treatment of superior vena cava obstruction in patients with malignancies. Eur Radiol 9:965–971PubMedCrossRef

48.

Vorwerk D (2000) Superior vena cava syndrome in the presence of a port catheter. Park it where it is out of the way. DOI 10.1594/EURORAD/CASE.593

49.

Merrer J, De Jonghe B, Golliot F et al (2001) Complications of femoral and subclavian venous catheterization in critically ill patients: a randomized controlled trial. JAMA 286:700–707PubMedCrossRef

50.

Bertoglio S, DiSomma C, Meszaros P, Gipponi M, Cafiero F, Percivale P (1996) Long-term femoral vein central venous access in cancer patients. Eur J Surg Oncol 22:162–165PubMedCrossRef

51.

Bennett JD, Papadouris D, Rankin RN, McGloughlin RF, Kribs S, Kozak RI, Garvin G, Elliott J (1997) Percutaneous inferior vena caval approach for long-term central venous access. J Vasc Interv Radiol 8:851–855PubMedCrossRef

52.

Azikhan RG, Taylor LA, Jaques PF, Mauro MA, Lacey SR (1992) Percutaneous lumbar and transhepatic inferior vena caval catheters for prolonged vascular access in children. J Pediatr Surg 27:165–169CrossRef

53.

Bow EJ, Kilpatrick MG, Clinch JJ (1999) Totally implantable venous access ports systems for patients receiving chemotherapy for solid tissue malignancies: A randomized controlled clinical trial examining the safety, efficacy, costs, and impact on quality of life. J Clin Oncol 17:1267PubMed

54.

Johansson E, Björkholm M, Björvell H, Hast R, Takolander R, Olofsson P, Backman L, Weitzberg E, Engervall P (2004) Totally implantable subcutaneous port system versus central venous catheter placed before induction chemotherapy in patients with acute leukaemia-a randomized study. Support Care Cancer 12:99–105PubMedCrossRef

55.

Ng F, Mastoroudes H, Paul E, Davies N, Tibballs J, Hochhauser D, Mayer A, Begent R, Meyer T (2007) A comparison of Hickman line- and Port-a-Cath-associated complications in patients with solid tumours undergoing chemotherapy. Clin Oncol 19:551–556CrossRef

56.

Biffi R, de Braud F, Orsi F, Pozzi S, Mauri S, Goldhirsch A, Nolè F, Andreoni B (1998) Totally implantable central venous access ports for long-term chemotherapy. A prospective study analyzing complications and costs of 333 devices with a minimum follow-up of 180 days. Ann Oncol 9:767–773PubMedCrossRef

57.

Seiler CM, Frohlich BE, Dorsam UJ, Kienle P, Buchler MW, Knaebel HP (2006) Surgical technique for totally implantable access ports (TIAP) needs improvement: a multivariate analysis of 400 patients. J Surg Oncol 93:24–29PubMedCrossRef

58.

Povoski SP (2000) A prospective analysis of the cephalic vein cutdown approach for chronic indwelling central venous access in 100 consecutive cancer patients. Ann Surg Oncol 7:496–502PubMedCrossRef

59.

Povoski SP (2004) External jugular vein cutdown approach for chronic indwelling central venous access in cancer patients: a potentially useful alternative. World J Surg Oncol 2:7PubMedCrossRef

60.

Mansfield PF, Hohn DC, Fornage BD, Gregurich MA, Ota DM (1994) Complications and failures of subclavian vein catheterization. N Engl J Med 29(331):1735–1738CrossRef

61.

Oziuvaci E, Kutlu F (2006) Totally implantable venous access devices via subclavian vein: a retrospective study of 368 oncology patients. Adv Therapy 23:574–581CrossRef

62.

Troianos CA, Jobes DR, Ellison N (1991) Ultrasound-guided cannulation of the internal jugular vein. A prospective, randomized study. Anesth Analg 72:823–826

63.

Thalhammer A, Jacobi V, Balzer J, Vogl TJ (2002) Repositioning of malpositioned or flipped central venous catheters. Eur Radiol 12:698–700PubMed

Titel: Central venous access: techniques and indications in oncology
verfasst von: Pierre-Yves Marcy
Publikationsdatum: 01.10.2008
Verlag: Springer-Verlag
Erschienen in: European Radiology / Ausgabe 10/2008
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-008-0981-2

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Central venous access: techniques and indications in oncology

Abstract

Neu im Fachgebiet Radiologie

Darf man die Behandlung eines Neonazis ablehnen?

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

Akuter Schwindel: Wann lohnt sich eine MRT?

Update Radiologie

Die Highlights vom Kongress des American College of Cardiology 2024

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 10/2008

Fluctuation in measurements of pulmonary nodule under tidal volume ventilation on four-dimensional computed tomography: preliminary results

Global left-ventricular function assessment using dual-source multidetector CT: effect of improved temporal resolution on ventricular volume measurement

Comparison of image quality in magnetic resonance imaging of the knee at 1.5 and 3.0 Tesla using 32-channel receiver coils

Total-body contrast-enhanced MRA on a short, wide-bore 1.5-T system: intra-individual comparison of Gd-BOPTA and Gd-DOTA

Clinical impact of the use of additional ultrasonography in diagnostic breast imaging

Cutaneous application of local anaesthetic–a useful help in galactography

Neu im Fachgebiet Radiologie

Darf man die Behandlung eines Neonazis ablehnen?

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

Akuter Schwindel: Wann lohnt sich eine MRT?

Update Radiologie