Insertion of Totally Implantable Central Venous Access Devices by Surgeons

안현준; 유춘근; 정은주; 강현종; 백진희; 양정현; 황대용

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자료유형: 학술저널

저자정보: 안현준 유춘근 정은주 강현종 백진희 양정현 황대용

저널정보: 대한대장항문학회 Annals of Coloproctology Annals of Coloproctolgy Vol.31 No.2

발행연도: 2015.1

수록면: 63 - 67 (5page)

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Purpose: The aim of this study is to evaluate the results for the insertion of totally implantable central venous access devices (TICVADs) by surgeons. Methods: Total 397 patients, in whom TICVADs had been inserted for intravenous chemotherapy between September 2008 and June 2014, were pooled. This procedure was performed under local anesthesia in an operation room. The insertion site for the TICVAD was mainly in the right-side subclavian vein. In the case of breast cancer patients, the subclavian vein opposite the surgical site was used for insertion. Results: The 397 patients included 73 males and 324 females. Primary malignant tumors were mainly colorectal and breast cancer. The mean operation time was 54 minutes (18–276 minutes). Operation-related complications occurred in 33 cases (8.3%). Early complications developed in 15 cases with catheter malposition and puncture failure. Late complications, which developed after 24 hours, included inflammation in 6 cases, skin necrosis in 6 cases, hematoma in 3 cases, port malfunction in 1 case, port migration in 1 case, and intractable pain at the port site in 1 case. Conclusion: Insertion of a TICVAD under local anesthesia by a surgeon is a relatively safe procedure. Meticulous undermining of the skin and carefully managing the TICVAD could minimize complications.

#Vascular access devices #Central venous catheterization #Maintenance chemotherapy

참고문헌 (20)

참고문헌 신청

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안세진 / 2012 / 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 13(3):314~323

Kim JT / 2012 / Clinical review and analysis of complications of totally implantable venous access devices for chemotherapy / Med Oncol 29:1361~1364

석준필 / 2014 / A Retrospective Clinical Study: Complications of Totally Implanted Central Venous Access Ports / The Korean Journal of Thoracic and Cardiovascular Surgery 47(1):26~31

신병석 / 2003 / 피하매몰 중심정맥포트 설치술: 천자위치와 시술방법에 따른 비교 / 대한영상의학회지 49(3):165~171