Sugawara Shunsuke, Sone Miyuki, Sakamoto Noriaki, Sofue Keitaro, Hashimoto Kazuki, Arai Yasuaki, Tokue Hiroyuki, Takigawa Masakazu, Mimura Hidefumi, Yamanishi Tomoaki, Yamagami Takuji
Department of Diagnostic Radiology, National Cancer Center Hospital, Japan.
Department of Radiology, Kakogawa Central City Hospital, Japan.
Interv Radiol (Higashimatsuyama). 2023 Jul 1;8(2):105-117. doi: 10.22575/interventionalradiology.2022-0015.
The central venous port has been widely used for patients who require long-term intravenous treatments, and the number of palcement has been increasing. The Japanese Society of Interventional Radiology developed a guideline for central venous port placement and management to provide evidence-based recommendations to support healthcare providers in the decision-making process regarding the central venous port. The guideline consisted of two parts: (i) a comprehensive review of topics including preoperative preparation, techniques for placement or removal, complications, and maintenance methods and (ii) recommendations for the six clinical questions regarding blood vessels for central venous port placement, port implantation site, prophylactic antibiotic therapy, imaging guidance for puncture, disinfectant prior to accessing the central venous port, and the optimal procedure at the end of drug administration via the central venous port, generated on the basis of the rating quality of evidence by systematic review.
中心静脉导管已广泛应用于需要长期静脉治疗的患者,其置入数量一直在增加。日本介入放射学会制定了中心静脉导管置入和管理指南,以提供循证建议,支持医疗服务提供者在中心静脉导管相关决策过程中做出决策。该指南包括两部分:(i)对包括术前准备、置入或移除技术、并发症和维护方法等主题的全面综述;(ii)基于系统评价的证据质量评级,针对中心静脉导管置入的血管、端口植入部位、预防性抗生素治疗、穿刺的影像引导、使用中心静脉导管前的消毒剂以及通过中心静脉导管给药结束时的最佳操作这六个临床问题提出的建议。