Clinical Review of Totally Implantable Venous Catheter.
- Author:
Jung Tae KIM
1
;
Tae Yoon OH
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University College of Medicine, Korea. chtoh.oh@samsung.net
- Publication Type:Original Article
- Keywords:
Complication;
Catheter;
Chemotherapy;
Cancer
- MeSH:
Catheters*;
Central Venous Catheters;
Drug Therapy;
Early Diagnosis;
Femoral Vein;
Humans;
Jugular Veins;
Punctures;
Retrospective Studies;
Subclavian Vein;
Thrombosis
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2007;40(10):691-695
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The introduction of central venous catheters in 1979 has aided the administration of chemotherapy to oncologic patients. We analyzed the clinical reviews and complications of totally implantable venous catheters in an effort to achieve optimal management. MATERIAL AND METHOD: We retrospectively studied 100 cases with totally implantable venous catheter at our hospital and we report the results. RESULT: 100 totally implantable venous catheters were placed in the right subclavian vein in 74 cases (74%), the left subclavian vein in 21 cases, the right jugular vein in 3 cases, the left jugular vein in 1 case and the right femoral vein in 1 case. The immediate complications were 5 cases in malposition of the catheter and 5 cases of arterial puncture. The late complications were 1 case of subclavian vein thrombosis, which was treated with anticoagulation, and 2 cases of pinch-off syndrome. There were no other early or late complications. CONCLUSION: The low rate of complications in this study confirms the safety and convenience of using totally implantable venous catheter in patients undergoing prolonged chemotherapy. Yet because Infection, thrombosis, and catheter fracture are the most common long term complications of totally implantable venous catheters, early diagnosis and management of these problems can prevent severe complications.
