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Erschienen in: World Journal of Surgery 4/2020

01.04.2020 | Original Scientific Report

Micropuncture Access Set Use During Implantation of Totally Implantable Venous Access Device May Reduce Upper Extremity DVT Incidence Among Patients Undergoing Chemotherapy for Colorectal Cancer

verfasst von: Chul Seung Lee, Sung-Hoon Yoon, Seung-Min Lee, In Kyu Lee, Jang Young Kim, Hyun Min Cho, Min Ki Kim

Erschienen in: World Journal of Surgery | Ausgabe 4/2020

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Abstract

Background

The aim of this study was to compare the perioperative outcomes when using a micropuncture access set (MS) to those when using a conventional puncture set (CS) for implantation of totally implantable venous access device (TAVID).

Methods

A total of 314 patients undergoing chemotherapy for colorectal cancer were included between June 2015 and July 2018. Of these, 123 (39.2%) received TAVID implantation using MS and 191 patients (60.8%) received TAVID using CS. Perioperative outcomes and complications were compared between both groups.

Results

Baseline characteristics, including body mass index, American Society of Anesthesiologists score, cardiovascular disease, diabetes mellitus, and hyperlipidemia, were not significantly different between the groups. Postoperative complications occurred in 25 patients (8.0%), and the rate and incidence of venous thrombosis were significantly higher in the CS group. There were no significant differences between the groups in other complications such as the rate of port site infection, deep vein thrombosis, obstruction, catheter dislocation, and skin complications (exposure). No incidence of catheter infection, port rotation, intraoperative bleeding, or pneumothorax was observed in this cohort.

Conclusions

MS is a safe and feasible procedure and results in less thrombosis. MS may play an important role in improving outcomes for the implantation of TAVID.
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Metadaten
Titel
Micropuncture Access Set Use During Implantation of Totally Implantable Venous Access Device May Reduce Upper Extremity DVT Incidence Among Patients Undergoing Chemotherapy for Colorectal Cancer
verfasst von
Chul Seung Lee
Sung-Hoon Yoon
Seung-Min Lee
In Kyu Lee
Jang Young Kim
Hyun Min Cho
Min Ki Kim
Publikationsdatum
01.04.2020
Verlag
Springer International Publishing
Erschienen in
World Journal of Surgery / Ausgabe 4/2020
Print ISSN: 0364-2313
Elektronische ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-019-05336-w

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