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首页> 外文期刊>Eastern Journal of Medicine >Assessement of the complications of Ultrasound and Fluoroscopy-Guided Placement of Totally implantable venous access ports
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Assessement of the complications of Ultrasound and Fluoroscopy-Guided Placement of Totally implantable venous access ports

机译：超声和透视引导下完全可植入静脉通路的放置的并发症评估

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Assessement of the complications of Ultrasound and Fluoroscopy-Guided Placement of Totally implantable venous access ports Sercan ?zka?maz sup1/sup, Muhammed Alpaslansup2/sup, Yeliz Dadal?sup2/sup, Alpaslan Yavuzsup3/sup sup1/supVan Training Hospital Department Of Radiology,Van/Turkey sup2/supAhi Evran University Faculty Of Medicine Department Of Radiology,K?r?ehir/Turkey sup3/supYüzüncü Y?l University Faculty Of Medicine Department Of Radiology,Van/Turkey INTRODUCTION: Totally implantable venous access systems are widely used in oncology; however, their complications are extremely common which, sometimes, require device removal, thereby, leading to delayed chemotherapy and infusion therapies. In this study, we aimed to investigate the immediate, early, and late complications of venous port implantation in our oncology patients. METHODS: A total of 219 consecutive cancer patients (111 males, 108 females; mean age: 56.9 years; range: 1 to 81 years) were retrospectively analyzed between January 2013 and June 2014. A total of 220 ultrasound- and fluoroscopy-guided totally implantable venous port systems were implanted through the right or left internal jugular vein access. RESULTS: The mean follow-up was 83.7 (range: 2 to 410) days. Overall complication rate was 8.6% (19/220). Eight devices in seven patients were removed due to complications. Two ports were removed in one patient. The complications which required port removal were compromised port-related bloodstream infection (n=5), central venous thrombosis (n=3), and catheter thrombosis (n=1). No major complication or no mortality associated with the port implantation was seen during follow-up. Totally seven immediate complications including local hematoma (n=2), catheter tip retraction (n=2), pain (n=1), catheter loop formation (n=1), catheter malposition (n=1), two early complications (n=2; 1 wound dehiscence, and 1 wound infection), and 10 late complications including catheter-related blood stream infection (n=5), central venous thrombosis (n=3), catheter thrombosis (n=1), and tunnel hematoma (n=1) occurred. DISCUSSION AND CONCLUSION: Low incidence of complications suggest ultrasound- and fluoroscopy-guided venous port implantation is a safe and reliable method for long-term venous access.
机译：超声和透视引导下可完全植入的静脉通路的放置的并发症评估Sercan？zka？maz 1 ，穆罕默德·阿尔帕斯兰 2 ，Yeliz Dadal？ 2 < / sup>，Alpaslan Yavuz 3 1 范培训医院放射科，范/土耳其 2 阿伊埃夫兰大学医学院放射科， K？r？ehir / Turkey 3 YüzüncüY？l大学医学院放射科，范/土耳其简介：完全可植入的静脉通路系统在肿瘤学中被广泛使用。然而，它们的并发症极为普遍，有时需要拆除器械，从而导致化学疗法和输液疗法的延迟。在这项研究中，我们旨在研究肿瘤患者静脉端口植入的即时，早期和晚期并发症。方法：回顾性分析2013年1月至2014年6月之间的219例连续癌症患者（男111例，女108例;平均年龄：56.9岁;范围：1到81岁）。总共进行了220例超声和透视检查通过右或左颈内静脉通路植入可植入的静脉端口系统。结果：平均随访时间为83.7天（范围：2至410天）。总体并发症发生率为8.6％（19/220）。由于并发症，七名患者中的八台设备被拆除。一名患者中移除了两个端口。需要移除端口的并发症包括受损的端口相关血流感染（n = 5），中心静脉血栓形成（n = 3）和导管血栓形成（n = 1）。随访期间未见大并发症或与端口植入相关的死亡率。总共七种即时并发症，包括局部血肿（n = 2），导管尖端回缩（n = 2），疼痛（n = 1），导管环形成（n = 1），导管位置不正确（n = 1），两种早期并发症（ n = 2; 1例伤口裂开，1例伤口感染），以及10例后期并发症，包括与导管相关的血流感染（n = 5），中心静脉血栓形成（n = 3），导管血栓形成（n = 1）和隧道发生血肿（n = 1）。讨论与结论：并发症的发生率低，提示超声和荧光检查指导的静脉端口植入是长期静脉通路的一种安全可靠的方法。

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