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Related Experiment Videos

[Central venous access systems in the oncologic patient].

M Ragusa1, D Alberti, R Argento

  • 1Clinica Chirurgica Generale e Toracica, Università degli Studi, Perugia.

Minerva Chirurgica
|June 1, 2000
PubMed
Summary

Totally implantable venous access systems (VAS) provide safe chemotherapy delivery for cancer patients. This study reviews implantation techniques and complications, highlighting methods to prevent adverse events.

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Area of Science:

  • Oncology
  • Vascular Surgery
  • Medical Devices

Context:

  • Venous access is crucial for cancer chemotherapy and monitoring.
  • Sclerosing medications and extravasation pose risks to neoplastic patients.
  • Totally implantable venous access systems (VAS) offer a solution, with evolving application techniques.

Purpose:

  • To present personal experience with VAS implantation in cancer patients.
  • To analyze complications associated with VAS.
  • To review international literature on VAS implantation techniques and complication prevention.

Summary:

  • 198 VAS were implanted in 195 patients between July 1994 and February 1998.
  • Initially, surgical cutdown of the cephalic vein was used (150 cases).

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  • Subsequently, a percutaneous technique was adopted for 48 patients, with analysis of immediate and late complications.
  • Impact:

    • Provides insights into the practical application of VAS in oncology.
    • Highlights potential complications such as pneumothorax, infection, and thrombosis.
    • Offers guidance on technical aspects to minimize risks and improve patient outcomes.