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为完全植入的Port-A-Cath,随机,受控试验的腹与关静脉对比

Bruno Soriano Pignataro¹, Kenji Nishinari¹, Mariana Krutman¹

¹Department of Vascular and Endovascular Surgery, A.C. Camargo Cancer Center, São Paulo, Brazil.

Annals of vascular surgery

|April 17, 2025

概括

对于癌症患者来说,用于port-a-cath植入的内静脉接入是一种切实可行的选择,显示出与脉静脉接入相似的安全性,但血栓形成风险较低.

科学领域:

血管外科血管外科
在瘤学瘤学.
医疗器械医疗器械

背景情况:

在癌症患者的全身静脉注射治疗中,Port-a-cath (PORT) 设备至关重要.
选择最佳的静脉接入点对于PORT的安全性和有效性至关重要.

研究的目的:

为了比较内部关静脉与关静脉对PORT植入的安全性和有效性.
评估两种接入方法之间的并发症率和血栓发生率.

主要方法:

随机对照试验涉及213名癌症患者.
超声波和放射学指导的PORT通过关或关静脉进行放置.
使用治疗意图和每条协议分析评估总并发症率.

主要成果:

总体而言,并发症发生率很低,在关静脉和关静脉接入组之间是可比的.
在静脉接入组中观察到较高的血栓发生率,需要在4名患者中切除PORT.

结论:

内部关静脉接入是PORT植入关静脉接入的切实替代方案.
虽然关接入提供了像单次切口一样的好处,但关接入可能是可取的,因为它具有解剖学优势和较低的血栓形成风险,特别是在高风险患者中.

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