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01.03.2015 | Interventional

Short-term and long-term outcome of radiological-guided insertion of central venous access port devices implanted at the forearm: a retrospective monocenter analysis in 1704 patients

verfasst von: Moritz Wildgruber, Sebastian Borgmeyer, Bernhard Haller, Heike Jansen, Jochen Gaa, Marion Kiechle, Reinhard Meier, Johannes Ettl, Hermann Berger

Erschienen in: European Radiology | Ausgabe 3/2015

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Abstract

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.

Key Points

• TIVAP implantation at the forearm is a minimally invasive and safe procedure.

• Technical success rate is close to 100 %.

• Short-term and long-term complication rates are low.

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Titel: Short-term and long-term outcome of radiological-guided insertion of central venous access port devices implanted at the forearm: a retrospective monocenter analysis in 1704 patients
verfasst von: Moritz Wildgruber
Sebastian Borgmeyer
Bernhard Haller
Heike Jansen
Jochen Gaa
Marion Kiechle
Reinhard Meier
Johannes Ettl
Hermann Berger
Publikationsdatum: 01.03.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: European Radiology / Ausgabe 3/2015
Print ISSN: 0938-7994
Elektronische ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-014-3417-1

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Short-term and long-term outcome of radiological-guided insertion of central venous access port devices implanted at the forearm: a retrospective monocenter analysis in 1704 patients