A Comparison of Outcomes and Complications of Totally Implantable Access Port Through the Internal Jugular Vein Versus the Subclavian Vein

Overview

Journal Int Surg

Specialty General Surgery

Date 2014 Mar 28

PMID 24670030

Citations 13

Authors

Yoshinobu Nagasawa

Tomoharu Shimizu

Hiromichi Sonoda

Eiji Mekata

Masato Wakabayashi

Hiroyuki Ohta

Satoshi Murata

Tsuyoshi Mori

Shigeyuki Naka

Tohru Tani

Affiliations

Soon will be listed here.

Abstract

Totally implantable access ports (TIAPs) are generally used in oncology. Few studies have addressed complications associated with the insertion site. A total of 233 consecutive oncology patients were enrolled to receive TIAP inserts via internal jugular vein (IJV) or subclavian vein (SV). Data on clinicopathologic parameters and early/late complications were retrospectively collected. No differences were found early and late complication rates. Catheter injury was observed more frequently in the IJV group (2.9%) than in the SV group (1.0%) without statistical significance. Multivariate logistic regression analysis showed that age, switch to palliative use of TIAP, and the distribution of diseases (low risk in patients with colorectal cancer) were independent risk factors for determining complications. In conclusion, TIAP insertion site showed no impact on the early and late complication rates. Catheter injury appears to occur at the same frequency with both approaches. Therefore, medical doctors may choose their preferred puncture site when performing TIAP insertion.

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