Abstract
Purpose: To evaluate effectiveness of breast fixation to reduce migration of the catheter tip of a totally implantable venous access port (TIVP) in women. Materials and methods: TIVPs were placed in 129 women via the right axillary vein from July 2012 to December 2014, with a final study population of 118 patients (mean age, 55.3 ± 13.8 years; range, 21-91 years). The patients were divided into two groups according to breast fixation during TIVP placement. A total of 56 patients received TIVP placement without breast fixation (Group 1); the remaining 62 received TIVP placement in the supine position after fixation of the ipsilateral breast on the abdominal wall in the sitting position (Group 2). Medical records were retrospectively reviewed for age, weight, height, body mass index, and underlying malignancy. We evaluated the difference in distance ratios between the port chamber and the catheter tip on supine chest and erect chest radiographs, respectively. Statistical analysis was performed using Student’s t test. Results: Differences in all parameters between Group 1 and Group 2 were not statistically significant. Mean distance ratio between the port chamber and the catheter tip was 1.95 ± 0.97 in Group 1 and 1.33 ± 0.59 in Group 2. Differences in distance ratios between the port chamber and the catheter tip were statistically significant between Group 1 and Group 2 (p = 0.001). Conclusions: Breast fixation seems to be effective in reducing migration of the port chamber and catheter tip with position changes in female patients during TIVP placement.
| Original language | English |
|---|---|
| Pages (from-to) | 348-352 |
| Number of pages | 5 |
| Journal | Journal of Vascular Access |
| Volume | 17 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 2016 Jul 1 |
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Keywords
- Central venous access
- Migration
- Vein
- Venous intervention
ASJC Scopus subject areas
- Surgery
- Nephrology
Cite this
Effectiveness of breast fixation to reduce migration of the tip of a totally implantable venous access port in women. / Song, Myung Gyu; Seo, Tae-Seok; Kim, Yun Hwan; Cho, Sung Bum; Jung, Euichul; Chung, Hwan Hoon; Lee, Seung Hwa.
In: Journal of Vascular Access, Vol. 17, No. 4, 01.07.2016, p. 348-352.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Effectiveness of breast fixation to reduce migration of the tip of a totally implantable venous access port in women
AU - Song, Myung Gyu
AU - Seo, Tae-Seok
AU - Kim, Yun Hwan
AU - Cho, Sung Bum
AU - Jung, Euichul
AU - Chung, Hwan Hoon
AU - Lee, Seung Hwa
PY - 2016/7/1
Y1 - 2016/7/1
N2 - Purpose: To evaluate effectiveness of breast fixation to reduce migration of the catheter tip of a totally implantable venous access port (TIVP) in women. Materials and methods: TIVPs were placed in 129 women via the right axillary vein from July 2012 to December 2014, with a final study population of 118 patients (mean age, 55.3 ± 13.8 years; range, 21-91 years). The patients were divided into two groups according to breast fixation during TIVP placement. A total of 56 patients received TIVP placement without breast fixation (Group 1); the remaining 62 received TIVP placement in the supine position after fixation of the ipsilateral breast on the abdominal wall in the sitting position (Group 2). Medical records were retrospectively reviewed for age, weight, height, body mass index, and underlying malignancy. We evaluated the difference in distance ratios between the port chamber and the catheter tip on supine chest and erect chest radiographs, respectively. Statistical analysis was performed using Student’s t test. Results: Differences in all parameters between Group 1 and Group 2 were not statistically significant. Mean distance ratio between the port chamber and the catheter tip was 1.95 ± 0.97 in Group 1 and 1.33 ± 0.59 in Group 2. Differences in distance ratios between the port chamber and the catheter tip were statistically significant between Group 1 and Group 2 (p = 0.001). Conclusions: Breast fixation seems to be effective in reducing migration of the port chamber and catheter tip with position changes in female patients during TIVP placement.
AB - Purpose: To evaluate effectiveness of breast fixation to reduce migration of the catheter tip of a totally implantable venous access port (TIVP) in women. Materials and methods: TIVPs were placed in 129 women via the right axillary vein from July 2012 to December 2014, with a final study population of 118 patients (mean age, 55.3 ± 13.8 years; range, 21-91 years). The patients were divided into two groups according to breast fixation during TIVP placement. A total of 56 patients received TIVP placement without breast fixation (Group 1); the remaining 62 received TIVP placement in the supine position after fixation of the ipsilateral breast on the abdominal wall in the sitting position (Group 2). Medical records were retrospectively reviewed for age, weight, height, body mass index, and underlying malignancy. We evaluated the difference in distance ratios between the port chamber and the catheter tip on supine chest and erect chest radiographs, respectively. Statistical analysis was performed using Student’s t test. Results: Differences in all parameters between Group 1 and Group 2 were not statistically significant. Mean distance ratio between the port chamber and the catheter tip was 1.95 ± 0.97 in Group 1 and 1.33 ± 0.59 in Group 2. Differences in distance ratios between the port chamber and the catheter tip were statistically significant between Group 1 and Group 2 (p = 0.001). Conclusions: Breast fixation seems to be effective in reducing migration of the port chamber and catheter tip with position changes in female patients during TIVP placement.
KW - Central venous access
KW - Migration
KW - Vein
KW - Venous intervention
UR - http://www.scopus.com/inward/record.url?scp=84978767430&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84978767430&partnerID=8YFLogxK
U2 - 10.5301/jva.5000565
DO - 10.5301/jva.5000565
M3 - Article
C2 - 27312751
AN - SCOPUS:84978767430
VL - 17
SP - 348
EP - 352
JO - Journal of Vascular Access
JF - Journal of Vascular Access
SN - 1129-7298
IS - 4
ER -