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经超声引导腋静脉穿刺的无隧道完全植入式静脉通路装置植入术：一项回顾性分析

Tunnelless totally implantable venous access device implantation via ultrasound-guided axillary vein puncture: A retrospective analysis.

作者信息

Luo Haiguan, Pan Yuying, Zhu Shuchen, Huang Lihui, Dong Mingyan, Zhang Qiaohong, Piao Yicui

机构信息

Department of Intensive Care Unit, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital & Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, China.

Department of Gynecological Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital & Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, China.

出版信息

J Int Med Res. 2025 Jul;53(7):3000605251357876. doi: 10.1177/03000605251357876. Epub 2025 Jul 21.

DOI:10.1177/03000605251357876
PMID:40686261
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12280531/
Abstract

ObjectiveThis study aimed to assess the feasibility and safety of using the ultrasound-guided axillary vein puncture technique to implant the totally implantable venous access device without a tunnel.MethodsThis study retrospectively analyzed data from 703 patients who underwent totally implantable venous access device implantation in the chest wall between January 2022 and March 2023. Ultimately, 685 patients underwent tunnelless totally implantable venous access device implantation via ultrasound-guided axillary vein puncture. We collected data regarding the patients' age, sex, body weight, body mass index, axillary vein diameter, depth of the axillary vein from the body surface, surgical success rate, operation duration, and postoperative follow-up.ResultsOf the 703 patients who signed the consent forms for totally implantable venous access device implantation, 685 were included in the axillary vein puncture group. The follow-up period ended on 31 August 2023; the mean follow-up duration was 281.59 days. The following complications were observed: catheter retrograde to the internal jugular vein in seven patients, catheter occlusion in three patients, catheter-related infections in two patients, catheter-related vein thrombosis in two patients, and skin infection around the infusion port in one patient. The overall immediate and long-term complication rate was 2.13%.ConclusionThe tunnelless totally implantable venous access device implantation technique via ultrasound-guided axillary vein puncture offers a highly effective, safe, and aesthetically pleasing alternative for chest wall totally implantable venous access device implantation.

摘要

目的

本研究旨在评估采用超声引导下腋静脉穿刺技术植入无隧道全植入式静脉通路装置的可行性和安全性。

方法

本研究回顾性分析了2022年1月至2023年3月期间在胸壁接受全植入式静脉通路装置植入的703例患者的数据。最终，685例患者通过超声引导下腋静脉穿刺接受了无隧道全植入式静脉通路装置植入。我们收集了患者的年龄、性别、体重、体重指数、腋静脉直径、腋静脉距体表深度、手术成功率、手术时长及术后随访等数据。

结果

在签署全植入式静脉通路装置植入同意书的703例患者中，685例纳入腋静脉穿刺组。随访期至2023年8月31日结束；平均随访时长为281.59天。观察到以下并发症：7例患者导管逆行至颈内静脉，3例患者导管堵塞，2例患者发生导管相关感染，2例患者发生导管相关静脉血栓形成，1例患者输液港周围皮肤感染。总体即时和长期并发症发生率为2.13%。

结论

超声引导下腋静脉穿刺无隧道全植入式静脉通路装置植入技术为胸壁全植入式静脉通路装置植入提供了一种高效、安全且美观的替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e87d/12280531/b087281bb8d2/10.1177_03000605251357876-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e87d/12280531/419562a1e94b/10.1177_03000605251357876-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e87d/12280531/d844acdcb050/10.1177_03000605251357876-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e87d/12280531/ca811ee796b7/10.1177_03000605251357876-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e87d/12280531/b087281bb8d2/10.1177_03000605251357876-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e87d/12280531/419562a1e94b/10.1177_03000605251357876-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e87d/12280531/d844acdcb050/10.1177_03000605251357876-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e87d/12280531/ca811ee796b7/10.1177_03000605251357876-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e87d/12280531/b087281bb8d2/10.1177_03000605251357876-fig4.jpg

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本文引用的文献

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World J Clin Cases. 2023 Jan 6;11(1):116-126. doi: 10.12998/wjcc.v11.i1.116.
2
A delayed complication of a port-a-cath insertion via subclavian venous access: Case report of a "pinch-off syndrome".经锁骨下静脉通路置入输液港的迟发性并发症：一例“夹闭综合征”病例报告
Int J Surg Case Rep. 2022 May;94:107039. doi: 10.1016/j.ijscr.2022.107039. Epub 2022 Apr 7.
3
Comparison of comfort and complications of Implantable Venous Access Port (IVAP) with ultrasound guided Internal Jugular Vein (IJV) and Axillary Vein/Subclavian Vein (AxV/SCV) puncture in breast cancer patients: a randomized controlled study.
超声引导下经颈内静脉（IJV）、锁骨下静脉/腋静脉（AxV/SCV）与植入式静脉输液港（IVAP）在乳腺癌患者中的舒适度和并发症比较：一项随机对照研究。
BMC Cancer. 2022 Mar 5;22(1):248. doi: 10.1186/s12885-022-09228-6.
4
Central venous access devices for the delivery of systemic anticancer therapy (CAVA): a randomised controlled trial.用于全身抗癌治疗（CAVA）的中央静脉通路装置：一项随机对照试验。
Lancet. 2021 Jul 31;398(10298):403-415. doi: 10.1016/S0140-6736(21)00766-2. Epub 2021 Jul 21.
5
Complications and management strategies of totally implantable venous access port insertion through percutaneous subclavian vein.经皮锁骨下静脉置入全植入式静脉输液港的并发症及处理策略
Turk Gogus Kalp Damar Cerrahisi Derg. 2019 Oct 23;27(4):499-507. doi: 10.5606/tgkdc.dergisi.2019.17972. eCollection 2019 Oct.
6
Totally Implantable Venous Access Devices: A Review of Complications and Management Strategies.完全植入式静脉通路装置：并发症及管理策略综述
Am J Clin Oncol. 2017 Feb;40(1):94-105. doi: 10.1097/COC.0000000000000361.
7
A single-incision technique for placement of implantable venous access ports via the axillary vein.一种经腋静脉置入植入式静脉通路端口的单切口技术。
J Vasc Interv Radiol. 2014 Sep;25(9):1439-46. doi: 10.1016/j.jvir.2013.12.571. Epub 2014 Mar 7.
8
The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies.《流行病学观察性研究报告强化（STROBE）声明》：观察性研究报告指南
Ann Intern Med. 2007 Oct 16;147(8):573-7. doi: 10.7326/0003-4819-147-8-200710160-00010.
9
Totally implanted venous and arterial access system to replace external catheters in cancer treatment.用于癌症治疗中替代外置导管的完全植入式动静脉通路系统。
Surgery. 1982 Oct;92(4):706-12.