[1]杨柏帅,王俊奕,袁 敏,等.超声结合DSA导引下经左侧腋静脉近侧段输液港植入术[J].介入放射学杂志,2019,28(12):1197-1201.
 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(12):1197-1201.
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超声结合DSA导引下经左侧腋静脉近侧段输液港植入术()

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

卷:
28
期数:
2019年12期
页码:
1197-1201
栏目:
临床研究
出版日期:
2019-12-28

文章信息/Info

Title:
Ultrasound combined with DSA- guided implantation of totally implantable venous access port via proximal left axillary vein
作者:
杨柏帅 王俊奕 袁 敏 侯毅斌 周 粟 陈天佑 李清涛
Author(s):
YANG Boshuai WANG Junyi YUAN Min HOU Yibin ZHOU Su CHEN Tianyou LI Qingtao.
Department of Interventional Radiology, Affiliated Shanghai Municipal Public Health Clinical Center of Fudan University, Shanghai 201508, China
关键词:
【关键词】 完全植入式静脉输液港 腋静脉 可行性
文献标志码:
A
摘要:
【摘要】 目的 探讨经左侧腋静脉近侧段途径植入完全植入式静脉输液港(TIVAP)可行性、安全性和临床效果。方法 回顾性收集2015年8月至2018年11月采用超声结合DSA导引下经左侧腋静脉近侧段植入TIVAP患者132例临床资料,分析穿刺成功率、手术成功率、术中术后并发症发生情况和患者接受度。结果 所有患者均成功植入TIVAP,左侧腋静脉穿刺成功率93.2%(123/132)。发生术中误穿刺动脉5例,气胸1例,心律失常3例,术后切口裂开1例,感染1例,导管移位2例,港体移位1例,静脉血栓形成3例。1例患者因舒适度欠佳,于术后3个月行TIVAP取出。未出现夹闭综合征、导管断裂等并发症。结论 超声结合DSA导引下经左侧腋静脉近侧段植入TIVAP可行、安全,患者广泛接受。

参考文献/References:

[1] Bray F, Ferlay J, Soerjomataram I, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2018, 68: 394- 424.
[2] 中心静脉通路上海协作组.完全植入式输液港上海专家共识[J]. 介入放射学杂志, 2015, 24: 1029- 1033.
[3] Macdonald S, Watt AJ, Mcnally D, et al. Comparison of technical success and outcome of tunneled catheters inserted via the jugular and subclavian approaches[J]. J Vasc Interv Radiol, 2000, 11: 225- 231.
[4] Seo TS, Song MG, Kang EY, et al. A single- incision technique for placement of implantable venous access ports via the axillary vein[J]. J Vasc Interv Radiol, 2014, 25: 1439- 1446.
[5] Plumhans C, Mahnkena AH, Ocklenburg C, et al. Jugular versus subclavian totally implantable access ports: catheter position, complications and intrainterventional pain perception[J]. Eur J Radiol, 2011, 79: 338- 342.
[6] Goltz JP, Scholl A, Ritter CO, et al. Peripherally placed totally implantable venous- access port systems of the forearm: clinical experience in 763 consecutive patients[J]. Cardiovasc Intervent Radiol, 2010, 33: 1159- 1167.
[7] Plumhans C, Mahnkena AH, Ocklenburg C, et al. Jugular versus subclavian totally implantable access ports: catheter position, complications and intrainterventional pain perception[J]. Eur J Radiol, 2011, 79: 338- 342.
[8] Tabatabaie O, Kasumova GG, Eskander MF, et al. Totally implantable venous access devices a review of complications and management strategies[J]. Am J Clin Oncol, 2017, 40: 94- 105.
[9] Nagasawa Y, Shimizu T, Sonoda H, et al. A comparison of outcomes and complications of totally implantable access port through the internal jugular vein versus the subclavian vein[J]. Int Surg, 2014, 99: 182- 188.
[10] Buzancais G, Roger C, Bastide S, et al. Comparison of two ultrasound guided approaches for axillary vein catheterization: a randomized controlled non- inferiority trial[J]. Br J Anaesth, 2016, 116: 215- 222.
[11] Lin CP, Wang YC, Lin FS, et al. Ultrasound- assisted percuta- neous catheterization of the axillary vein for totally implantable venous access device[J]. Eur J Surg Oncol, 2011, 37: 448- 451.
[12] 仇晓霞, 金光鑫, 郭 艳, 等. 超声导引下上臂完全植入式输液港植入临床应用[J]. 介入放射学杂志, 2017, 26: 689- 694.
[13] Fragou M, Gravvanis A, Dimitriou V, et al. Real- time ultrasound- guided subclavian vein cannulation versus the landmark method in critical care patients: a prospective randomized study[J]. Crit Care Med, 2011, 39: 1607- 1612.
[14] Hong S, Seo TS, Song MG, et al. Clinical outcomes of totally implantable venous access port placement via the axillary vein in patients with head and neck malignancy[J]. J Vasc Access, 2019, 20: 134- 139.
[15] Luciani A, Clement O, Halimi P, et al. Catheter- related upper extremity deep venous thrombosis in cancer patients: a prospective study based on doppler US[J]. Radiology, 2001, 220: 655- 660.
[16] 李吉光,康秀文,谢永鹏,等. 静态评估及实时超声引导经腋静脉近侧段途径中心静脉置管在危重症患者中的应用[J]. 中国急救复苏与灾害医学杂志, 2018, 13: 43- 46.
[17] Chhabra L, Spodick DH. Complete heart block: an underappreciated serious complication of central venous catheter placement[J]. J Electrocardiol, 2012, 45: 790–792.
[18] Erinjeri JP, Fong AJ, Kemeny NE, et al. Timing of administration of bevacizumab chemotherapy affects wound healing after chest wall port placement[J]. Cancer, 2011, 117: 1296- 1301.
[19] Joffe HV, Kucher N, Tapson VF, et al. Upper- extremity deep vein thrombosis: a prospective registry of 592 patients[J]. Circu-l ation, 2004, 110: 1605- 1611.
[20] Schiffer CA, Mangu PB, Wade JC, et al. Central venous catheter care for the patient with cancer: American Society of Clinical Oncology clinical practice guideline[J]. J Clin Oncol, 2013, 31: 1357- 1370.
[21] Fazeny- Dorner B, Wenzel C, Berzlanovich A, et al. Central venous catheter pinch- off and fracture: recognition,prevention and management[J]. Bone Marrow Transplant, 2003, 31: 927- 930.
[22] Lebeaux D, Fernandez- Hidalgo N, Chauhan A, et al. Management of infections related to totally implantable venous- access ports: challenges and perspectives[J]. Lancet Infect Dis, 2014, 14: 146- 159.

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备注/Memo

备注/Memo:
(收稿日期:2018- 12- 27)
(本文编辑:边 佶)
更新日期/Last Update: 2019-12-27