Totally implanted device for long-term intravenous chemotherapy: Experience in 123 adult patients with solid neoplasms
✍ Scribed by Puig-la Calle, Jorge; López Sánchez, Santos; Piedrafita Serra, Encarnación; Honorato, Luis Allende; Artigas Raventós, Vicente; Puig La Calle, Jorge
- Publisher
- John Wiley and Sons
- Year
- 1996
- Tongue
- English
- Weight
- 601 KB
- Volume
- 62
- Category
- Article
- ISSN
- 0022-4790
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✦ Synopsis
Vascular access in patients receiving prolonged chemotherapy is a difficult problem. This led to the introduction of a totally implanted device. We intend to assess the efficacy of this device in a subset of oncologic patients. Between May 1989 and November 1992, 129 devices were placed in 123 adult patients with solid neoplasms. Most of the catheters were inserted by cut-down of the external jugular vein. Follow-up period ranged from 28 to 70 months. Early complications occurred in 4 of 129 implants, all in percutaneously inserted catheters. Infection was the ,most frequent late complication. By March 1995, 113 devices had been removed, 15 (13.3%) because of complications. Mean life of the explanted systems was 512 days. Totally implanted devices provide safe and efficient long-term venous access. Implantation should be performed by experienced surgeons, by cut-down whenever possible. Infection is the most serious complication and may be prevented by careful management.