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1 "Jung-Hyun Yang"
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Original Article
Insertion of Totally Implantable Central Venous Access Devices by Surgeons
Hyeonjun An, Chun-Geun Ryu, Eun-Joo Jung, Hyun Jong Kang, Jin Hee Paik, Jung-Hyun Yang, Dae-Yong Hwang
Ann Coloproctol. 2015;31(2):63-67.   Published online April 30, 2015
DOI: https://doi.org/10.3393/ac.2015.31.2.63
  • 5,780 View
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  • 16 Web of Science
  • 18 Citations
AbstractAbstract PDF
Purpose

The aim of this study is to evaluate the results for the insertion of totally implantable central venous access devices (TICVADs) by surgeons.

Methods

Total 397 patients, in whom TICVADs had been inserted for intravenous chemotherapy between September 2008 and June 2014, were pooled. This procedure was performed under local anesthesia in an operation room. The insertion site for the TICVAD was mainly in the right-side subclavian vein. In the case of breast cancer patients, the subclavian vein opposite the surgical site was used for insertion.

Results

The 397 patients included 73 males and 324 females. Primary malignant tumors were mainly colorectal and breast cancer. The mean operation time was 54 minutes (18-276 minutes). Operation-related complications occurred in 33 cases (8.3%). Early complications developed in 15 cases with catheter malposition and puncture failure. Late complications, which developed after 24 hours, included inflammation in 6 cases, skin necrosis in 6 cases, hematoma in 3 cases, port malfunction in 1 case, port migration in 1 case, and intractable pain at the port site in 1 case.

Conclusion

Insertion of a TICVAD under local anesthesia by a surgeon is a relatively safe procedure. Meticulous undermining of the skin and carefully managing the TICVAD could minimize complications.

Citations

Citations to this article as recorded by  
  • Implantable catheter chambers: a 14-year descriptive study
    Anas Erragh, Salma Bellaftouh, Safia Chaabi, Yassine Hafiani, Afak Nsiri, Rachid Alharrar
    memo - Magazine of European Medical Oncology.2025; 18(1): 56.     CrossRef
  • Vascular access device type for systemic anti-cancer therapies in cancer patients: A scoping review
    C. Duggan, O. Hernon, R. Dunne, V. McInerney, S.R. Walsh, A. Lowery, M. McCarthy, P.J. Carr
    Critical Reviews in Oncology/Hematology.2024; 196: 104277.     CrossRef
  • Machine learning risk prediction model for bloodstream infections related to totally implantable venous access ports in patients with cancer
    Fan Wang, Yanyi Zhu, Lijuan Wang, Caiying Huang, Ranran Mei, Li-e Deng, Xiulan Yang, Yan Xu, Lingling Zhang, Min Xu
    Asia-Pacific Journal of Oncology Nursing.2024; 11(8): 100546.     CrossRef
  • Catheter malposition analysis of totally implantable venous access port in breast cancer patients
    Wenbo Liu, Qingzheng Han, Lin Li, Jiangrui Chi, Xinwei Liu, Yuanting Gu
    Frontiers in Surgery.2023;[Epub]     CrossRef
  • Portocath insertion technique: retrospective study & step-by-step surgical description without tunneling in a high-complexity service
    ANNA MARIA GARCIA CARDOSO, FERNANDA SANTOS WENGROVER, ALINE WÜRZIUS, MARINA PUERARI PIETA, RAFFAELA NASCIMENTO DE CARLI, CARLOS EDUARDO BASTIAN DA-CUNHA, RICARDO BREIGEIRON
    Revista do Colégio Brasileiro de Cirurgiões.2022;[Epub]     CrossRef
  • Sağ Atriumdan Sağ Juguler Vene Yolculuk: Nadir Bir Port Kateter Komplikasyonu
    Orhan ÜREYEN, Hüseyin FENERCİOĞLU, Demet ALAY, İlhan DURSUN, Enver İLHAN
    Ankara Eğitim ve Araştırma Hastanesi Tıp Dergisi.2021; 54(1): 148.     CrossRef
  • Forty years after the first totally implantable venous access device (TIVAD) implant: the pure surgical cut-down technique only avoids immediate complications that can be fatal
    Adriana Toro, Elena Schembari, Emanuele Gaspare Fontana, Salomone Di Saverio, Isidoro Di Carlo
    Langenbeck's Archives of Surgery.2021; 406(6): 1739.     CrossRef
  • An analysis of the outcomes of totally implantable access port implantation performed by surgical residents
    Se-Beom Jeon, Youngbae Jeon, Kyoung-Won Han, Yong-Soon Chun, Jeong-Heum Baek
    Korean Journal of Clinical Oncology.2021; 17(1): 15.     CrossRef
  • Totally implantable venous access devices
    Swapnil Patel, Preeti Vijayakumaran
    Cancer Research, Statistics, and Treatment.2021; 4(3): 536.     CrossRef
  • Long-Term Management of Vascular Access Ports in Nonhuman Primates Used in Preclinical Efficacy and Tolerability Studies
    Lucas A. Mutch, Samuel T. Klinker, Jody J. Janecek, Melanie N. Niewinski, Rachael M. Z. Lee, Melanie L. Graham
    Journal of Investigative Surgery.2020; 33(6): 493.     CrossRef
  • Validation of a questionnaire of knowledge and attitudes about the subcutaneous venous reservoir in nursing
    Roberto Raña-Rocha, Ignacio López-de-Ullibarri, María-Jesús Movilla-Fernández, Carmen Coronado Carvajal
    Revista Latino-Americana de Enfermagem.2020;[Epub]     CrossRef
  • Comparison of Care Outcomes Between Two Methods of Drug Injection Through Ports and Peripheral Veins in Patients Undergoing Chemotherapy
    Seied Hashem Mosavi, Nasrin Elahi, Marziyeh Asadizaker, Ahmad Ahmadzadeh Deilami
    Jundishapur Journal of Chronic Disease Care.2020;[Epub]     CrossRef
  • Supraclavicular versus infraclavicular approach in inserting totally implantable central venous access for cancer therapy: A comparative retrospective study
    Amine Souadka, Hajar Essangri, Imad Boualaoui, Abdelilah Ghannam, Amine Benkabbou, Laila Amrani, Raouf Mohsine, Mohammed Anass Majbar, Robert Jeenchen Chen
    PLOS ONE.2020; 15(11): e0242727.     CrossRef
  • Ultrasound‐guided totally implantable venous access device through the right innominate vein in older patients is safe and reliable
    Xingwei Sun, Yu Zhang, Chuanlai Yang, Yubin Zhou, Xuming Bai, Weiwei Zheng, Yong Jin
    Geriatrics & Gerontology International.2019; 19(3): 218.     CrossRef
  • An unusual catheter malposition following totally implantable venous access port insertion: The catheter tip located into the right axillary vein
    Ahmet Yüksel, Yusuf Velioğlu, Mustafa Enes Demirel, Erhan Renan Uçaroğlu
    Journal of Surgery and Medicine.2019;[Epub]     CrossRef
  • Usefulness of Percutaneous Puncture in Insertion of Totally Implantable Venous Access Devices in Pediatric Patients
    Jung Sik Choi, Keun-Myoung Park, Sungteak Jung, Kee Chun Hong, Yong Sun Jeon, Soon Gu Cho, Yun-Mee Choe
    Vascular Specialist International.2017; 33(3): 108.     CrossRef
  • Reply on "What Is the Role of Surgeons When Implanting a Totally Implantable Venous Access Device to Prevent Immediate Complications?"
    Eun-Joo Jung, Dae-Yong Hwang
    Annals of Coloproctology.2015; 31(4): 165.     CrossRef
  • Commentary on "Insertion of Totally Implantable Central Venous Access Devices by Surgeons" - What Is the Role of Surgeons When Implanting a Totally Implantable Venous Access Device to Prevent Immediate Complications?
    Adriana Toro, Gaetano Bertino, Annalisa Ardiri, Isidoro Di Carlo
    Annals of Coloproctology.2015; 31(4): 163.     CrossRef
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