Evaluation of totally implantable central venous access devices with the cephalic vein cut‐down approach: Usefulness of preoperative ultrasonography. Issue 1 (8th December 2015)

• Record Type: Journal Article
• Authors: Otsubo, Ryota; Hatachi, Toshiko; Shibata, Kenichiro; Yoshida, Takuya; Watanabe, Hironosuke; Oikawa, Masahiro; Matsumoto, Megumi; Yano, Hiroshi; Taniguchi, Hideki; Nagayasu, Takeshi
• Is Part Of: Journal of surgical oncology. Volume 113:Issue 1(2016)
• Page Start: 114
• Page End: 119
• Publication Date: 2015-12-08
• Subjects: venous cutdown -- indwelling catheter -- totally implantable central venous access device -- ultrasonography -- cancer; Cancer -- Surgery -- Periodicals; Neoplasms -- Periodicals; 616
• DOI: 10.1002/jso.24100
• Languages: English
• ISSNs: 0022-4790

Abstract

Abstract : 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 < 0.01), and C, respectively. Group A and B experienced no postoperative pneumothorax, arterial puncture, or pinch‐off syndrome. Completion rates were 93.7% in group A and 86.5% in group B. Preoperative ultrasonography identified the cephalic vein in 94.1% of subjects with an average diameter of 3.1 mm and depth of 10.2 mm. Identifying convergence of the cephalic vein and the axillary vein improved the completion rate. Conclusions: This study showed that the cephalic vein cut‐down approach for TICVAD implantation reduced complications. Preoperative ultrasonography resulted in a shorter operating time and higher completion rate. J. Surg. Oncol. 2016;113:114–119 . © 2015 Wiley Periodicals, Inc.