Evaluation of totally implantable central venous access devices with the cephalic vein cut-down approach: Usefulness of preoperative ultrasonography

Background The aims of this retrospective study, were to evaluate totally implantable central venous access device (TICVAD) implantation and to validate the efficacy of preoperative ultrasonography. Methods A total of 380 cases implanted with TICVADs were divided into four groups: cut‐downs with ult...

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Bibliographic Details
Published in:Journal of surgical oncology 2016-01, Vol.113 (1), p.114-119
Main Authors: Otsubo, Ryota, Hatachi, Toshiko, Shibata, Kenichiro, Yoshida, Takuya, Watanabe, Hironosuke, Oikawa, Masahiro, Matsumoto, Megumi, Yano, Hiroshi, Taniguchi, Hideki, Nagayasu, Takeshi
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Antineoplastic Agents - administration & dosage
Axillary Vein - diagnostic imaging
Axillary Vein - surgery
Brachiocephalic Veins - diagnostic imaging
Brachiocephalic Veins - surgery
cancer
Catheterization, Central Venous - adverse effects
Catheterization, Central Venous - instrumentation
Catheterization, Central Venous - methods
Catheters, Indwelling - adverse effects
Female
Humans
indwelling catheter
Male
Middle Aged
Operative Time
Postoperative Complications - etiology
Preoperative Period
Retrospective Studies
totally implantable central venous access device
Ultrasonography
venous cutdown
Venous Cutdown - adverse effects
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Summary:Background The aims of this retrospective study, were to evaluate totally implantable central venous access device (TICVAD) implantation and to validate the efficacy of preoperative ultrasonography. Methods A total of 380 cases implanted with TICVADs were divided into four groups: cut‐downs with ultrasonography (group A, n = 112); cut‐downs without ultrasonography (group B, n = 37); venous puncture (group C, n = 122); and replacements using the existing catheter (group D, n = 109). Operation time, completion rate, and complications were compared. Results The average operating time was 41.7, 52.4, and 40.6 min in groups A, B (P 
ISSN:0022-4790
1096-9098
DOI:10.1002/jso.24100