Does the Implantation Technique for Totally Implantable Venous Access Ports (TIVAPs) Influence Long-Term Outcome?

World Journal of Surgery
Daniele BiacchiAngelo Di Giorgio

Abstract

Totally implantable venous access ports (TIVAP) are eventually explanted for various reasons, related or unrelated to the implantation technique used. Having more information on long-term explantation would help improve placement techniques. From a series of 1572 cancer patients who had TIVAPs implanted in our center with the cutdown technique or Seldinger technique, we studied the 542 patients who returned to us to have their TIVAP explanted after 70 days or more. As outcome measures we distinguished between TIVAPs explanted for long-term complications (infection, catheter-, reservoir-, and patient-related complications) and TIVAPs no longer needed. Univariate and multivariate analyses were run to investigate the reasons for explantation and their possible correlation with implantation techniques. The most common reason for explantation was infection (47.6 %), followed by catheter-related (20.8 %), patient-related (14.7 %), and reservoir-related complications (4.7 %). In the remaining 12.2 % of cases, the TIVAP was explanted complication free after the planned treatments ended. Infection correlated closely with longer TIVAP use. Univariate and multivariate analyses identified the Seldinger technique as a major risk factor for ...Continue Reading

References

Oct 29, 1998·Gynecologic Oncology·D F SilverG H Eltabbakh
Nov 9, 2002·The Lancet Oncology·Sidika KurulTulay Aydin
Dec 10, 2013·The Lancet Infectious Diseases·David LebeauxChristophe Beloin

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Citations

Nov 18, 2018·The Journal of International Medical Research·Süleyman BademlerHasan Karanlık
Nov 7, 2020·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Latif Volkan Tumay, Osman Serhat Guner

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