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논문 기본 정보

자료유형
학술저널
저자정보
최정식 (인하대학교) 박근명 (인하대학교) 정성택 (인하대학교) 홍기천 (인하대학교) 전용선 (인하대학교) 조순구 (인하대학교) 최윤미 (인하대학교)
저널정보
대한혈관외과학회 Vascular Specialist International Vascular Specialist International Vol.33 No.3
발행연도
2017.1
수록면
108 - 111 (4page)

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Purpose: Totally implantable venous access devices (TIVADs) are commonly used in pediatrics for the administration of chemotherapy, antibiotics, or parenteral nutrition. TIVADs can be implanted using various techniques, including surgical cutdown (SC) and percutaneous puncture (PP). Recently, percutaneous TIVAD became popular in adults, but studies comparing between PP and SC group in pediatric patients are rare. Materials and Methods: Data were collected and analyzed retrospectively from 23 patients who underwent TIVAD at a single institution between January 2013 and December 2015. We examined the clinical characteristics, insertion techniques, and clinical outcome. We divided the patients into 2 groups and compared PP with ultrasonography and SC using the insertion technique. We compared success rate, procedural time, and the patency rate between the 2 groups. Results: Eleven TIVADS were inserted using PP, and 12 TIVADs were inserted using SC. No statistically significant difference in characteristics was found between the 2 groups. The procedural time in the PP group was shorter than that in the SC group, but the difference was not statistically significant (P=0.685). During followup, 1 patient in the SC group had an occlusion, and 1 patient in the PP group had an infection. Conclusion: PP of the internal jugular vein with ultrasonography appears to be the method of choice for TIVAD insertion owing to its similar success rate in terms of implantation and complication rate to that in SC, with shorter procedural times in pediatric patients.

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