[1]丁 伟,周 奇,孙飞虎,等.单切口腋静脉入路技术在完全植入式静脉输液港植入中的应用 [J].介入放射学杂志,2020,29(10):1028-1032.
 DING Wei,ZHOU Qi,SUN Feihu,et al.Application of single-incision technique via axillary vein access in the implantation of totally implantable venous access port[J].journal interventional radiology,2020,29(10):1028-1032.
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单切口腋静脉入路技术在完全植入式静脉输液港植入中的应用 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
29
期数:
2020年10
页码:
1028-1032
栏目:
临床研究
出版日期:
2020-10-25

文章信息/Info

Title:
Application of single-incision technique via axillary vein access in the implantation of totally implantable venous access port
作者:
丁 伟 周 奇 孙飞虎 孙 磊 王维涛 徐 平 范 晨 王卫东
Author(s):
DING Wei ZHOU Qi SUN Feihu SUN Lei WANG Weitao XU Ping FAN Chen WANG Weidong.
Department of Intervention, Affiliated Wuxi People’s Hospital of Nanjing Medical University, Wuxi, Jiangsu Province 214023, China
关键词:
【关键词】 单切口技术 腋静脉 完全植入式静脉输液港 颈内静脉 锁骨下静脉 手术并发症
文献标志码:
A
摘要:
【摘要】 目的 探讨单切口腋静脉(AV)入路技术在完全植入式静脉输液港(TIVAP)植入术中应用的可行性和安全性。 方法 回顾性分析2018年1月至6月南京医科大学附属无锡人民医院采用单切口AV入路技术植入TIVAP的179例患者临床资料。其中男90例,女89例,平均年龄(46.8±12.5)(23~77)岁。DSA透视解剖定位下穿刺AV。穿刺AV困难(穿刺3次)或误穿刺腋动脉,即改为超声导引下穿刺AV;超声提示目标静脉狭窄或闭塞,即改为同侧颈内静脉(IJV)入路植入TIVAP。观察技术成功率、手术相关信息及TIVAP留置相关并发症情况。 结果 177例患者通过单切口AV入路成功植入TIVAP,2例术中改行同侧IJV入路完成手术,技术成功率为98.9%(177/179)。平均透视时间(0.8±0.2)(0.3~1.5) min,手术操作时间(21.5±10.3)(17~45) min,TIVAP留置时间(362.5±65.2)(252~442) d。术中操作相关问题发生率为8.9%(16/179),其中误穿刺腋动脉6例,导丝误入同侧IJV 5例,可撕脱鞘折弯3例,导管-港体连接处扭曲2例。TIVAP留置相关并发症发生率为3.4%(6/179),其中局部血肿形成、术侧AV血栓形成、左头臂静脉血栓狭窄-闭塞伴左IJV-锁骨下静脉(SCV)近心端血栓形成、纤维蛋白鞘形成各1例,囊袋局部感染2例,未见导管相关血流感染、导管断裂/移位、夹闭综合征、药物外渗等严重并发症。结论 单切口AV入路技术植入TIVAP技术成功率高,安全可行,手术时间短,并发症发生率低,可为TIVAP植入方式提供另一种选择。

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相似文献/References:

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 YANG Boshuai,WANG Junyi,YUAN Min,et al.Ultrasound combined with DSA- guided implantation of totally implantable venous access port via proximal left axillary vein[J].journal interventional radiology,2019,28(10):1197.

备注/Memo

备注/Memo:
(收稿日期:2019- 08- 13)
(本文编辑:边 佶)
更新日期/Last Update: 2020-10-19