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Implantable central venous access system.

A Bothe, W Piccione, J J Ambrosino

    American Journal of Surgery
    |April 1, 1984
    PubMed
    Summary
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    A totally implantable access disc system provides safe and effective prolonged central venous access for outpatient chemotherapy. This method demonstrated high patient acceptance and a low complication rate in a clinical study.

    Area of Science:

    • Oncology
    • Vascular Surgery
    • Medical Devices

    Background:

    • Prolonged central venous access is crucial for outpatient chemotherapy delivery.
    • Traditional central venous access methods can be associated with complications and patient discomfort.

    Purpose of the Study:

    • To evaluate the efficacy and safety of a totally implantable access disc system for prolonged central venous access in patients receiving outpatient chemotherapy.

    Main Methods:

    • A cohort of 74 patients utilized a totally implantable access disc system.
    • The system involves a subcutaneous drug reservoir connected to a catheter tunneled to the superior vena cava.
    • Data collected over 6,762 patient days included complication rates and patient acceptance.

    Main Results:

    Related Experiment Videos

    • The system achieved high patient acceptance with a low incidence of complications.
    • Seventeen complications were recorded, including four instances of thrombosis and two of catheter-related sepsis.
    • Seven access discs required removal due to complications or other reasons.

    Conclusions:

    • The totally implantable access disc system is a viable and well-tolerated option for prolonged central venous access in chemotherapy patients.
    • It offers an attractive alternative to other central venous access methods, balancing efficacy with patient comfort and safety.