Comparison of implantations of central venous access ports via the approach of internal jugular vein or subclavian vein
10.3760/cma.j.issn.1674-635X.2014.01.011
- VernacularTitle:颈内静脉入路和锁骨下静脉入路输液港植入术对比分析
- Author:
Zhaoqi LIU
;
Yong JIANG
;
Wenting CHEN
;
Peihong LIN
- Publication Type:Journal Article
- Keywords:
Central venous access ports;
Approach of internal jugular vein;
Approach of internal jugular subclavian;
Complication
- From:
Chinese Journal of Clinical Nutrition
2014;22(1):53-57
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the advantages and disadvantages of two different approaches (i.e.internal jugular vein and subclavian vein) when used for the implantation of central venus access ports (CVAP).Methods We retrospectively analyzed 620 patients who underwent the implantation of CVAP via the approach of internal jugular vein (n =222) or subclavian vein (n =398) and compared the success rate on first attempt as well as the incidences of peroperative and long-term complications.Results The implantation of CVAP was successfully performed in all the 620 patients,with the success rate on first attempt being 97.24％ (387/398) in the subclavian vein group and 89.19％ (198/222) in the internal jugular vein group (U =0.171,P ＜ 0.01).The incidences of perioperative/long-term complications were 0.90％ (2/222) /1.80％ (4/222) in the internal jugular vein group and 1.26％ (5/398) /2.01％ (8/398) in the subclavian vein group,showing no significant differences (all P ＞ 0.05).Conclusions The implantation of CVAP via either the internal jugular vein approach or subclavian vein approach is safe and reliable.Few complications will occur if performed properly.
