Araştırma Makalesi
Yıl 2020,
Cilt: 10 Sayı: 2, 81 - 86, 29.06.2020
Öz
Kaynakça
- Kock HJ, Pietsch M, Krause U, Wilke H, Eigler FW. Implantable vascular access systems: experience in 1500 patients with totally implanted central venous port systems. World J Surg 1998; 22: 12-16.
- Matiotti-Neto M, Eskander MF, Tabatabaie O, Kasumova G, Bliss LA, Ng SC, Tawa NE, Jr., Murphy B, Critchlow JF, Tseng JF. Percutaneous versus Cut-Down Technique for Indwelling Port Placement. Am Surg 2017; 83: 1336-1342.
Yıl 2020,
Cilt: 10 Sayı: 2, 81 - 86, 29.06.2020
Öz
Objective: Although the most common complications of totally implantable venous catheters(TIVC) are infection and thrombosis, mechanical
complications can also affect the treatment and cause catheter removal. This study aimed to investigate mechanical complications of TIVC and
prevention methods.
Methods: Data of 983 procedures in 961patients who underwent TIVC implantation between 2010 and 2019 in AcibademMaslak, Bakirkoy, and
Atakent Hospitals were retrospectively analyzed for mechanical complications.
Results: Mechanical complications were encountered in 33(3.3%) cases: 12(1.2%) were detachment of TIVC, 8(0.8%) occlusions, 5(0.5%)
pneumothorax, 1(0.1%) hemothorax, 1(0.1%) malposition, 1(0.1%) extravasation, 2(0.2%) TIVC rotation, 3(0.3%) skin necrosis and extrusions.
Conclusion: The catheter tip should be placed in distal superior vena cava, reservoir pocket must be sufficient in size, reservoir should be fixed
to pectoral muscle or fascia at least two points with nonabsorbable sutures. Subcutaneous fatty tissue resection from reservoir pocket should
be performed in obese patients. The nature of the withdrawn blood form Seldinger needle should be checked visually whether venous or
not. Risk of pneumothorax and detachment can be reduced by inserting the catheter from 1/3 outer part of the clavicle during percutaneous
technique. While complication rate can be reduced by peroperative fluoroscopy use, control X-ray should be taken in symptomatic patients, not
routinely. Malposition can be seen in the peroperative period and can usually be corrected by good manipulation. Percutaneous transcatheter
retrieval in addition to surgery is the gold standard treatment for detachment of TIVC. The most important factors in preventing complications
are surgical experience and good care.
Anahtar Kelimeler
Totally implantable venous catheter Complication detachment malfunction malposition
Kaynakça
- Kock HJ, Pietsch M, Krause U, Wilke H, Eigler FW. Implantable vascular access systems: experience in 1500 patients with totally implanted central venous port systems. World J Surg 1998; 22: 12-16.
- Matiotti-Neto M, Eskander MF, Tabatabaie O, Kasumova G, Bliss LA, Ng SC, Tawa NE, Jr., Murphy B, Critchlow JF, Tseng JF. Percutaneous versus Cut-Down Technique for Indwelling Port Placement. Am Surg 2017; 83: 1336-1342.
Toplam 2 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Articles |
| Yazarlar | |
| Yayımlanma Tarihi | 29 Haziran 2020 |
| Gönderilme Tarihi | 7 Şubat 2020 |
| Yayımlandığı Sayı | Yıl 2020 Cilt: 10 Sayı: 2 |
Kaynak Göster
