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ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
Rivista di Chirurgia Vascolare ed Endovascolare
Italian Journal of Vascular and Endovascular Surgery 2014 Settembre;21(3):139-44
The best localization for a long-term port catheter: comparison of jugular and subclavian access in oncology patients
Ozbudak E. 1, Cabuk D. 2, Gul Akgul A. 3, Sahin D. 4, Yavuz S. 1, Faruk Gulasti O. 1, Berki T. 1
1 Department of Cardiovascular Surgery, Kocaeli University Faculty of Medicine, Kocaeli, Turkey;
2 Department of Medical Oncology, Kocaeli University Faculty of Medicine, Kocaeli, Turkey;
3 Department of Thoracic Surgery, Kocaeli University Faculty of Medicine, Kocaeli, Turkey;
4 Department of Physiology, Kocaeli University Faculty of Medicine, Kocaeli, Turkey
AIM: In this study, we aimed to retrospectively analyze the clinical features of 404 venous port catheters implanted between January 2008 and June 2012. Our results show that the right jugular vein can be the first choice for long-term catheter placement due to its long-lasting ability and lower risk of complications. The improvements in the treatment of oncologic patients in recent years have prolonged the lifetime and enhanced the quality of life of patients, and reduced treatment periods. So, implantable permanent central venous catheters perform an important role in cancer patients. The most commonly used veins, jugular and subclavian veins, have an effect on complications.
METHODS: Between January 2008 and June 2012, 404 venous port catheters implanted for chemotherapy in oncological patients regarding the localizations of the catheters, follow-up periods, and complications were retrospectively analyzed. The clinical features of these patients were also retrospectively analyzed. Port implanting indications, early problems occurred after procedures, port-related complications, removal of the port due to complications, deep vein thrombosis and treatment ways were evaluated.
RESULTS: When the frequency of late complications based on the port catheter locations was evaluated, 29% (N.=10) were in JVs, 71% (N.=24) were in SVs. Among 404 patients, 46 cases had a variety of early and late complications. Twelve of these complications observed after 1 day of catheter placement were defined as early complications, 34 of them were late complications.
CONCLUSION: Our results show that the right jugular vein can be the first choice for long-term catheter placement due to its long-lasting ability and lower risk of complications.