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Updated: Aug 7, 2026
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Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
Published on: December 9, 2022
Five years' experience with long saphenous catheterisation for chronic venous access
1Department of Surgery, University of Newcastle upon Tyne, Medical School, Framlington Place, Newcastle upon Tyne, NE2 4HH, UK.
Clinical Nutrition (Edinburgh, Scotland)
|June 1, 1990
Summary
This study reports on 419 chronic venous access catheter implantations over five years. The long saphenous vein is a safe and effective route for venous access, particularly for chemotherapy.
Area of Science:
- Vascular Surgery
- Oncology Support Care
Background:
- Chronic venous access is crucial for long-term therapies like chemotherapy and parenteral nutrition.
- Evaluating different venous access routes is essential for optimizing patient outcomes and minimizing complications.
Purpose of the Study:
- To report the five-year experience of a single surgical team in implanting chronic venous access catheters.
- To compare the outcomes of cannulating the inferior vena cava via the long saphenous vein versus the superior vena cava via jugular or cephalic veins.
Main Methods:
- Retrospective analysis of 419 chronic venous access catheter implantations in 368 patients (adults and children).
- Catheters were inserted into the inferior vena cava (via long saphenous vein) or superior vena cava (via jugular/cephalic veins).
- Data collected included indications for use, catheter dwell times, and complication rates (infection, thrombosis).
Main Results:
- A total of 419 catheters were implanted, primarily for malignant disease management and home parenteral nutrition.
- Mean catheter survival exceeded one year, with some lasting over three years.
- The overall infection rate was 18%, with no increased thrombotic or infective complications noted for the long saphenous vein route.
Conclusions:
- The long saphenous vein is a suitable and safe route for chronic venous access, especially for chemotherapy delivery.
- Both inferior and superior vena cava access routes provide durable venous access.
- Careful patient selection and surgical technique are key to successful chronic venous access catheterization.
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