지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 13 - 17 (5page)
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초록· 키워드
오류제보하기
Background: Totally implantable access port (TIAP) provides reliable, long term vascular access with minimal risk of infection and allowspatients normal physical activity. With wide use of ports, new complications have been encountered. We analyzed TIAP related complications and evaluated the outcomes of two different percutaneous routes of access to superior vena cava.
Methods: All 172 patients who underwent port insertion with internal jugular approach (Group 1, n = 92) and subclavian approach (Group 2, n = 79) between August 2011 and May 2013 in a single center were analyzed, retrospectively. Medical records were analyzed to compare the outcomes and the occurrence of port related complications between two different percutaneous routes of access to superior vena cava.
Results: Median follow-up for TIAP was 278 days (range, 1-1868). Twenty four complications were occurred (14.0%), including pneumothorax(n = 1, 0.6%), migration/malposition (n = 4, 2.3%), pinch-off syndrome (n = 4, 2.3%), malfunction (n = 2, 1.1%), infection (n = 8, 4.7%), and venous thrombosis (n = 5, 2.9%). The overall incidence was 8.7% and 20.3% in each group (p = 0.030). Mechanical complicationsexcept infectious and thrombotic complications were more often occurred in group 2 (p = 0.033). The mechanical complicationfree probability is significantly higher in group 1 (p = 0.040).
Conclusions: We suggest that the jugular access should be chosen in patients who need long term catheterization because of high incidence of mechanical complication, such as pinch-off syndrome.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Aitken DR / 1984 / The “pinch-off sign”: a warning of impending problems with permanent subclavian catheters / Am J Surg 148 : 633 ~ 636
Araujo C / 2008 / A comparative study between two central veins for the introduction of totally implantable venous access devices in 1201 cancer patients / Eur J Surg Oncol
Biffi R / 2009 / Best choice of central venous insertion site for the prevention of catheter-related complications in adult patients who need cancer therapy: a randomized tri
Broviac JW / 1973 / A silicone rubber atrial catheter for prolonged parenteral alimentation / Surg Gynecol Obstet 136 : 602 ~ 606
Frykholm P / 2014 / Clinical guidelines on central venous catheterisation. Swedish Society of Anaesthesiology and Intensive Care Medicine / Acta Anaesthesiol Scand 58 : 508 ~
Araujo C / 2008 / A comparative study between two central veins for the introduction of totally implantable venous access devices in 1201 cancer patients / Eur J Surg Oncol
Biffi R / 2009 / Best choice of central venous insertion site for the prevention of catheter-related complications in adult patients who need cancer therapy: a randomized tri
Broviac JW / 1973 / A silicone rubber atrial catheter for prolonged parenteral alimentation / Surg Gynecol Obstet 136 : 602 ~ 606
Frykholm P / 2014 / Clinical guidelines on central venous catheterisation. Swedish Society of Anaesthesiology and Intensive Care Medicine / Acta Anaesthesiol Scand 58 : 508 ~
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