[1]孙兴伟,白旭明,程 龙,等.右侧头臂静脉入路植入静脉输液港临床应用 [J].介入放射学杂志,2017,(08):699-701.
　SUN Xingwei,BAI Xuming,CHENG Long,et al.The placement of totally implantable venous access port via right brachiocephalic vein access： its clinical application[J].journal interventional radiology,2017,(08):699-701.
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2017年08期
页码:
699-701
栏目:
血管介入
出版日期:
2017-08-25

文章信息/Info

Title:
The placement of totally implantable venous access port via right brachiocephalic vein access： its clinical application
作者:
孙兴伟;  白旭明;  程 龙;  顾星石;  原 强;  荆 剑;  张 健;  靳 勇
Author(s):
SUN Xingwei;  BAI Xuming;  CHENG Long;  GU Xingshi;  YUAN Qiang;  JING Jian;  ZHANG Jian;  JIN Yong
Department of Interventional Radiology， Affiliated Second Hospital of Soochow University， Suzhou， Jiangsu Province 215004， China
关键词:
【关键词】 完全植入式静脉输液港;  头臂静脉;  颈内静脉;  锁骨下静脉;  并发症
文献标志码:
A
摘要:
【摘要】 目的 探讨右侧头臂静脉入路行完全植入式静脉输液港（TIVAP）植入的可行性及安全性。方法 回顾性分析2013年3月至2015年12月采用BCV入路植入TIVAP共493例患者临床资料，其中男137例，女356例；年龄29～78岁，平均（47.3±13.2）岁。总结穿刺成功率及留置过程相关并发症。结果 手术成功率为100%，首次穿刺成功率为99%（488/493）。手术时间18～35 min，平均（22.5±8.3） min。术中误穿动脉3例（0.61%，3/493），未见血胸、气胸等严重并发症。术后患者携TIVAP时间为124～986 d，平均（271.1±53.8） d；并发症发生率为2.25%（11/488），包括港穴出血2例，导管相关感染1例，部分血栓形成2例，纤维蛋白鞘形成6例，未见导管异位、断裂、置管相关夹闭综合征（POS）等严重并发症。结论 经右侧BCV入路行TIVAP植入，穿刺成功率高，安全可靠，可为临床植入TIVAP提供另一入路选择。

参考文献/References:

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［13］ Chang M， Hsieh B， Hsieh F， et al. An alternative technique for totally implantable central venous access devices. A retrospective study of 1311 cases［J］. Eur J Surg Oncol， 2006， 32： 90- 93.

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备注/Memo

备注/Memo:
（收稿日期：２０１6-０9-15）
（本文编辑：边 佶）
更新日期/Last Update: 2017-08-11