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

作者：Nagasawa Yoshinobu; Shimizu Tomoharu^*; Sonoda Hiromichi; Mekata Eiji; Wakabayashi Masato; Ohta Hiroyuki; Murata Satoshi; Mori Tsuyoshi; Naka Shigeyuki; Tani Tohru

来源：International Surgery, 2014, 99(2): 182-188.

DOI：10.9738/INTSURG-D-13-00185.1

• TIPA
• Internal jugular vein
• Central venous port
• Totally implantable venous access devices
• TIVAD

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.

• 出版日期2014-4