01.10.2012 | Original Scientific Paper
Subclavian vein puncture vs. surgical cut-down to the cephalic vein for insertion of totally implantable venous access ports
verfasst von:
B. Dauser, MD, J. Stopfer, MD, S. Ghaffari, MD, F. Herbst, MD, FRCS
Erschienen in:
European Surgery
|
Ausgabe 5/2012
Einloggen, um Zugang zu erhalten
Excerpt
Totally implantable venous access ports (TIAPs) are used for administration of chemotherapy, long-term parenteral nutrition or repeated blood transfusion and blood sampling [
1,
2]. The central venous system can be assessed by direct puncture of a central vein or by surgical cut-down to a peripheral vein. Puncture of the subclavian vein and catheter insertion using the Seldinger technique is one of the most popular approaches but may cause severe complications such as pneumothorax, arterial puncture, haematoma, catheter misplacement or nerve palsy [
3]. In contrast, surgical cut-down to the cephalic vein (CD) is associated with a minimal risk for (severe) early complications, but primary success rate is lower and this technique seems to be more time consuming [
4,
5]. Still, there are no consistent recommendations which access should be preferred for TIAP implantation. With this study, we present the data and experience made using these two main approaches at a single surgical department. …
