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Clinical review and analysis of complications of totally implantable venous access devices for chemotherapy.

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Clinical review and analysis of complications of totally implantable venous access devices for chemotherapy.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Kim, Jung Tae Oh, Tae Yun Chang, Woon Ha Jeong, Young Kyun
Description	Author Affiliation: Kim JT ( Department of Cardiovascular and Thoracic Surgery, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, Seoul, Korea.)
Abstract	Since the first implant of totally implantable venous access device (TIVAD), performed by Niederhuber and colleague in 1982, the systems have increasingly been used in the field of oncology. We analyzed the clinical reviews and complications of TIVAD in an effort to achieve optimal management. We retrospectively studied 442 cases with TIVAD device at our hospital and we report the results. Four hundred and forty-two TIVAD were placed in the right subclavian vein in 345 cases, the left subclavian vein in 93 cases, the right jugular vein in 2 cases, the left jugular vein in 1 case, and the right femoral vein in 1 case. The immediate complications were 28 cases in malposition of the catheter, 10 cases of arterial puncture, and 2 cases of pneumothorax. The late complications were 3 cases of pocket infection, 2 cases of catheter related to sepsis, 3 cases of catheter obstruction, 2 cases of SVC thrombosis, and 1 case of catheter fracture (pinch-off syndrome: Hinke grade 3). There were no other early or late complications. The low rate of complications in the study confirms the safety and convenience of using TIVAD in patients undergoing prolonged chemotherapy. Yet because infection, thrombosis and catheter fracture are the most common long-term complications of TIVAD, early diagnosis and management of these problems can prevent severe complications.
File Format	HTM / HTML
ISSN	13570560
Issue Number	2
Volume Number	29
e-ISSN	1559131X
Journal	Medical Oncology
Language	English
Publisher	Springer
Publisher Date	2012-06-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Prognosis Constriction, Pathologic Humans Middle Aged Child, Preschool Venous Thrombosis Infant Male Neoplasms Journal Article Young Adult Bacterial Infections Etiology Adult Female Retrospective Studies Diagnosis Child Discipline Oncology Catheters, Indwelling Adverse Effects Infusion Pumps, Implantable Complications Drug Therapy Antineoplastic Combined Chemotherapy Protocols Catheterization, Central Venous Administration & Dosage Follow-up Studies Adolescent Aged
Content Type	Text
Resource Type	Article
Subject	Hematology Cancer Research Oncology

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