The Placement of Totally Implantable Venous Access Devices with Percutaneous Landmark-guided Access with Fluoroscopy-guided Positioning of Catheter: A Retrospective Analysis of 1200 Cases in a Center.

Pil Je Kang, MD, Jae Ho Ahn, MD1, Jae Jin Han, MD, Tae Hee Won, MD, and Kwan Chang Kim, MD

Department of Thoracic and Cardiovascular Surgery, Ewha Womans University Mokdong Hospital, Ewha Woman`s University College of Medicine, Seoul, Republic of Korea

Background : Totally implantable venous access devices (TIVADs) has been widely used for long-term chemotherapy or intravenous access. We conducted this study to analyze the technical success and complication rates of the placement of TIVADs by cardiovascular surgeons.

Methods : We retrospectively reviewed 1200 TIVADs were implanted at our center between January 2012 and February 2015. All placements were performed by anatomical landmark-guided puncture and fluoroscopy-guided. Technical success rates, procedural time, and complication rates were evaluated based on patient medical records and radiologic records.

Results : There were 138 men and 1062 women. 1143 cases has done in cancer patients. 493 removal of TIVADs was done during this periods. The technical success rate was 99.4 % and total complications were 59 cases (4.9 %). Pneumothorax occurred in 13 cases (1.08 %), malfunction occurred in 15 cases (1.25 %) and catheter fracture occurred in 5 (0.41 %).

Conclusion : Fluoroscopy-guided placement of totally implantable venous access devices with anatomical landmark-guided puncture is safe, efficient and feasible with high technical success rates and acceptable complications rates.

책임저자: Pil Je Kang

Department of Thoracic and Cardiovascular Surgery, Ewha Womans University Mokdong Hospital, Ewha Woman`s University College of Medicine, Seoul, Republic of Korea

연락처 : Pil Je Kang, Tel: 02-2650-5151 , E-mail : kfeelj78@gmail.com