Long-term clinical outcomes of the single-incision technique for implantation of implantable venous access ports via the axillary vein

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Abstract

Purpose: To evaluate long-term clinical outcomes and complications of the single-incision technique for implantation of totally implantable venous access ports (TIVAPs) via the axillary vein. Materials and methods: A total of 932 TIVAPs were placed in 927 patients between May 2012 and October 2014 using a single-incision technique. Patients included 620 men and 307 women with a mean age of 60.0 years. TIVAPs were placed via the left (n = 475) and right (n = 457) axillary veins after making a single oblique vertical incision and medial side pocket without subcutaneous tunneling. We retrospectively reviewed medical records to evaluate status of the patients and TIVAPs, complications, and reasons for explantation. In patients who still had a TIVAP in place, we calculated the duration of TIVAP use from the cut-off day of November 1, 2015. Results: Clinical follow-up was obtained for a total device service period of 311,069 days with a median indwelling time of 467 days (range: 3-1097 days). A total of 37 (4.0%) complications developed. Early complications (n = 4) were one case each of stenosis of the brachiocephalic vein by tumor growth, thrombosis of axillary vein, intravascular migration, and malfunction depending on patient’s position. Late complications (n = 33) were suspected catheter-related blood stream infection (n = 23), local infection of the pocket (n = 4), symptomatic stenosis and thrombosis of central vein (n = 4), malfunction by fibrin sleeve (n = 1), and intravascular migration (n = 1). Conclusions: A single-incision technique for TIVAP implantation via the axillary vein seems to be safe with a low risk of complication.

Original languageEnglish
Pages (from-to)345-351
Number of pages7
JournalJournal of Vascular Access
Volume18
Issue number4
DOIs
Publication statusPublished - 2017

Fingerprint

Axillary Vein
Pathologic Constriction
Thrombosis
Brachiocephalic Veins
Infection
Fibrin
Medical Records
Veins
Catheters
Equipment and Supplies
Growth
Neoplasms

Keywords

  • Axillary vein
  • Complications
  • Implantable venous access port
  • Single-incision technique

ASJC Scopus subject areas

  • Surgery
  • Nephrology

Cite this

@article{05f3c3f4a29a422eb276917e4a0ba45b,
title = "Long-term clinical outcomes of the single-incision technique for implantation of implantable venous access ports via the axillary vein",
abstract = "Purpose: To evaluate long-term clinical outcomes and complications of the single-incision technique for implantation of totally implantable venous access ports (TIVAPs) via the axillary vein. Materials and methods: A total of 932 TIVAPs were placed in 927 patients between May 2012 and October 2014 using a single-incision technique. Patients included 620 men and 307 women with a mean age of 60.0 years. TIVAPs were placed via the left (n = 475) and right (n = 457) axillary veins after making a single oblique vertical incision and medial side pocket without subcutaneous tunneling. We retrospectively reviewed medical records to evaluate status of the patients and TIVAPs, complications, and reasons for explantation. In patients who still had a TIVAP in place, we calculated the duration of TIVAP use from the cut-off day of November 1, 2015. Results: Clinical follow-up was obtained for a total device service period of 311,069 days with a median indwelling time of 467 days (range: 3-1097 days). A total of 37 (4.0{\%}) complications developed. Early complications (n = 4) were one case each of stenosis of the brachiocephalic vein by tumor growth, thrombosis of axillary vein, intravascular migration, and malfunction depending on patient’s position. Late complications (n = 33) were suspected catheter-related blood stream infection (n = 23), local infection of the pocket (n = 4), symptomatic stenosis and thrombosis of central vein (n = 4), malfunction by fibrin sleeve (n = 1), and intravascular migration (n = 1). Conclusions: A single-incision technique for TIVAP implantation via the axillary vein seems to be safe with a low risk of complication.",
keywords = "Axillary vein, Complications, Implantable venous access port, Single-incision technique",
author = "Tae-Seok Seo and Song, {Myung Gyu} and Kim, {Jun Suk} and Choi, {Chul Won} and Seo, {Jae Hong} and Oh, {Sang Cheul} and Kang, {Eun Joo} and Lee, {Jae Kwan} and Lee, {Sung Yong}",
year = "2017",
doi = "10.5301/jva.5000751",
language = "English",
volume = "18",
pages = "345--351",
journal = "Journal of Vascular Access",
issn = "1129-7298",
publisher = "Wichtig Publishing",
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TY - JOUR

T1 - Long-term clinical outcomes of the single-incision technique for implantation of implantable venous access ports via the axillary vein

AU - Seo, Tae-Seok

AU - Song, Myung Gyu

AU - Kim, Jun Suk

AU - Choi, Chul Won

AU - Seo, Jae Hong

AU - Oh, Sang Cheul

AU - Kang, Eun Joo

AU - Lee, Jae Kwan

AU - Lee, Sung Yong

PY - 2017

Y1 - 2017

N2 - Purpose: To evaluate long-term clinical outcomes and complications of the single-incision technique for implantation of totally implantable venous access ports (TIVAPs) via the axillary vein. Materials and methods: A total of 932 TIVAPs were placed in 927 patients between May 2012 and October 2014 using a single-incision technique. Patients included 620 men and 307 women with a mean age of 60.0 years. TIVAPs were placed via the left (n = 475) and right (n = 457) axillary veins after making a single oblique vertical incision and medial side pocket without subcutaneous tunneling. We retrospectively reviewed medical records to evaluate status of the patients and TIVAPs, complications, and reasons for explantation. In patients who still had a TIVAP in place, we calculated the duration of TIVAP use from the cut-off day of November 1, 2015. Results: Clinical follow-up was obtained for a total device service period of 311,069 days with a median indwelling time of 467 days (range: 3-1097 days). A total of 37 (4.0%) complications developed. Early complications (n = 4) were one case each of stenosis of the brachiocephalic vein by tumor growth, thrombosis of axillary vein, intravascular migration, and malfunction depending on patient’s position. Late complications (n = 33) were suspected catheter-related blood stream infection (n = 23), local infection of the pocket (n = 4), symptomatic stenosis and thrombosis of central vein (n = 4), malfunction by fibrin sleeve (n = 1), and intravascular migration (n = 1). Conclusions: A single-incision technique for TIVAP implantation via the axillary vein seems to be safe with a low risk of complication.

AB - Purpose: To evaluate long-term clinical outcomes and complications of the single-incision technique for implantation of totally implantable venous access ports (TIVAPs) via the axillary vein. Materials and methods: A total of 932 TIVAPs were placed in 927 patients between May 2012 and October 2014 using a single-incision technique. Patients included 620 men and 307 women with a mean age of 60.0 years. TIVAPs were placed via the left (n = 475) and right (n = 457) axillary veins after making a single oblique vertical incision and medial side pocket without subcutaneous tunneling. We retrospectively reviewed medical records to evaluate status of the patients and TIVAPs, complications, and reasons for explantation. In patients who still had a TIVAP in place, we calculated the duration of TIVAP use from the cut-off day of November 1, 2015. Results: Clinical follow-up was obtained for a total device service period of 311,069 days with a median indwelling time of 467 days (range: 3-1097 days). A total of 37 (4.0%) complications developed. Early complications (n = 4) were one case each of stenosis of the brachiocephalic vein by tumor growth, thrombosis of axillary vein, intravascular migration, and malfunction depending on patient’s position. Late complications (n = 33) were suspected catheter-related blood stream infection (n = 23), local infection of the pocket (n = 4), symptomatic stenosis and thrombosis of central vein (n = 4), malfunction by fibrin sleeve (n = 1), and intravascular migration (n = 1). Conclusions: A single-incision technique for TIVAP implantation via the axillary vein seems to be safe with a low risk of complication.

KW - Axillary vein

KW - Complications

KW - Implantable venous access port

KW - Single-incision technique

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U2 - 10.5301/jva.5000751

DO - 10.5301/jva.5000751

M3 - Article

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AN - SCOPUS:85024474984

VL - 18

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JO - Journal of Vascular Access

JF - Journal of Vascular Access

SN - 1129-7298

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