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Related Experiment Videos

Alternative insertion sites for permanent central venous access devices

F A D'Angelo1, G Ramacciato, P Aurello

  • 1Istituto di I Clinica Chirurgica-S.S. Chirurgia Geriatrica, Universita' degli Studi di Roma, La Sapienza, Italia.

European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
|March 4, 1998
PubMed
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Alternative insertion sites for permanent central venous access devices (PCVAD) show comparable safety and efficacy to standard approaches. This study suggests these alternative sites are a viable option for chronically ill patients.

Area of Science:

  • Medical Devices
  • Vascular Surgery
  • Oncology

Background:

  • Permanent central venous access devices (PCVAD) are crucial for managing chronically ill patients, especially those with cancer.
  • Standard PCVAD placement involves the superior vena cava (SVC) via subclavian or internal jugular veins, with thoracic port implantation.

Purpose of the Study:

  • To evaluate the safety and efficacy of alternative insertion sites for PCVAD.
  • To compare morbidity and explant rates between standard and alternative PCVAD approaches.

Main Methods:

  • Retrospective analysis of 158 PCVAD implantations.
  • Comparison of 12 cases with alternative insertion sites (forearm, abdominal) versus standard approaches.
  • Assessment of complication and explant rates.

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Main Results:

  • Morbidity rates were similar between standard (8.9%) and alternative (8.3%) approaches (P=NS).
  • Explant rates were also comparable: 5.4% for standard vs. 8.3% for alternative sites (P=0.1).
  • No significant differences in outcomes were observed between the groups.

Conclusions:

  • Alternative insertion sites for PCVAD implantation are a safe and feasible option.
  • These sites offer a valid alternative for managing chronically ill patients requiring long-term venous access.
  • The study supports expanding the use of alternative PCVAD placement techniques.