[Evaluation of 389 cases with a central venous access device inserted peripherally in the forearm]

We describe the technique and the long-term results of a central venous access device inserted peripherally in the forearm. From July, 1994, 411 central venous access devices were implanted in 389 patients (365 patients with malignant disease and 24 with benign disease). The insertion was successful in 384 cases (99.0%). The mean follow up duration was 116.5 days (range 3 to 859 days) after insertion. Complications were observed in 90 cases (21.8%); drip insufficiency in 42 (10.2%), phlebitis in 15 (3.6%), local infection in 9 (2.2%), catheter obstruction in 8 (1.9%), skin defect in 6 (1.5%), thrombosis of the subclavian vein in 4 (1.0%), system destruction in 4 (1.0%), and subcutaneous injection in 2 (0.5%). The system was removed in 23 cases (5.6%). We conclude that this method is safe and effective and should be widely used for the management of outpatients.