Ultrasound and Fluoroscopy-Guided Placement of Central Venous Ports via Internal Jugular Vein: Retrospective Analysis of 1254 Port Implantations at a Single Center
Korean Journal of Radiology
; : 314-323, 2012.
Article
в En
| WPRIM
| ID: wpr-89583
Ответственная библиотека:
WPRO
ABSTRACT
OBJECTIVE: To assess the technical success and complication rates of the radiologic placement of central venous ports via the internal jugular vein. MATERIALS AND METHODS: We retrospectively reviewed 1254 central venous ports implanted at our institution between August 2002 and October 2009. All procedures were guided by using ultrasound and fluoroscopy. Catheter maintenance days, technical success rates, peri-procedural, as well as early and late complication rates were evaluated based on the interventional radiologic reports and patient medical records. RESULTS: A total of 433386 catheter maintenance days (mean, 350 days; range 0-1165 days) were recorded. The technical success rate was 99.9% and a total of 61 complications occurred (5%), resulting in a post-procedural complication rate of 0.129 of 1000 catheter days. Among them, peri-procedural complications within 24 hours occurred in five patients (0.4%). There were 56 post-procedural complications including 24 (1.9%, 0.055 of 1000 catheter days) early and 32 (2.6%, 0.074 of 1000 catheter days) late complications including, infection (0.6%, 0.018 of 10000 catheter days), thrombotic malfunction (1.4%, 0.040 of 1000 catheter days), nonthrombotic malfunction (0.9%, 0.025 of 1000 catheter days), venous thrombosis (0.5%, 0.014 of 1000 catheter days), as well as wound problems (1.1%, 0.032 of 1000 catheter days). Thirty six CVPs (3%) were removed due to complications. Bloodstream infections and venous thrombosis were the two main adverse events prolonging hospitalization (mean 13 days and 5 days, respectively). CONCLUSION: Radiologic placement of a central venous port via the internal jugular vein is safe and efficient as evidenced by its high technical success rate and a very low complication rate.
Key words
Полный текст:
1
База данных:
WPRIM
Основная тема:
Postoperative Complications
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Catheterization, Central Venous
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Fluoroscopy
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Radiography, Interventional
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Retrospective Studies
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Treatment Outcome
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Ultrasonography, Interventional
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Republic of Korea
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Jugular Veins
Тип исследования:
Observational_studies
Пределы темы:
Adolescent
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Adult
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Aged
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Aged80
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Female
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Humans
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Male
Страна как тема:
Asia
Язык:
En
Журнал:
Korean Journal of Radiology
Год:
2012
Тип:
Article