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介入放射科的中心静脉通路端口——单中心经验

Central venous access ports in the interventional radiology suite - one-centre experience.

作者信息

Zabicki Bartosz, Limphaibool Nattakarn, Holstad Marte Johanne Veilemand, Perkowska Katarzyna

机构信息

Department of Diagnostic and Interventional Radiology, Poznan University of Medical Sciences, Poznan, Poland.

出版信息

Pol J Radiol. 2019 Aug 27;84:e328-e334. doi: 10.5114/pjr.2019.88066. eCollection 2019.

Abstract

PURPOSE

Central venous access ports (CVAP) are widely used to provide long-term vascular access for the delivery of chemotherapeutic medications. The aim of this study was to evaluate the clinical outcomes and complications following CVAP implantation in the interventional radiology suite.

MATERIAL AND METHODS

A retrospective analysis was conducted on 937 oncology patients who underwent CVAP implantation between January 2009 and June 2017. Information regarding patient characteristics, operative data, and procedural outcomes was collected and analysed.

RESULTS

A total of 937 patients scheduled for CVAP were included in the final analysis. Initial success was achieved in 930 patients (99.3%), and overall completion was achieved in 933 patients (99.6%). There were 63 complications overall. Among these, 19 (2.0%) occurred during the intra- and perioperative period and 44 were late complications (4.7%). No CVAP-related mortalities were observed.

CONCLUSIONS

The analysis in the present study revealed that the CVAP is a safe and effective route for long-term administration of chemotherapy with an overall complication rate of 6.7% throughout the entire device duration. The CVAP implantation procedure carried out in the interventional radiology suite provides an advantage in the management of procedural, vascular and catheter-related complications.

摘要

目的

中心静脉通路端口(CVAP)被广泛用于为化疗药物的输注提供长期血管通路。本研究的目的是评估在介入放射科进行CVAP植入后的临床结果和并发症。

材料与方法

对2009年1月至2017年6月期间接受CVAP植入的937例肿瘤患者进行回顾性分析。收集并分析了患者特征、手术数据和操作结果等信息。

结果

最终分析纳入了937例计划进行CVAP植入的患者。930例患者(99.3%)首次植入成功,933例患者(99.6%)总体植入完成。总共发生了63例并发症。其中,19例(2.0%)发生在术中和围手术期,44例为晚期并发症(4.7%)。未观察到与CVAP相关的死亡病例。

结论

本研究分析表明,CVAP是长期化疗给药的安全有效途径,在整个装置使用期间总体并发症发生率为6.7%。在介入放射科进行的CVAP植入操作在处理操作、血管和导管相关并发症方面具有优势。

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