Shanghai Cooperation Group on central venous access.Shanghai expert consensus on fully implantable infusion port[J].journal interventional radiology,2015,(12):1029-1033.







Shanghai expert consensus on fully implantable infusion port
Shanghai Cooperation Group on central venous access
【关键词】 完全植入式输液港 植入 维护 标准
【摘要】 目前国内外尚无完全植入式输液港(TIAP)方面的指南可查询。完全植入式输液港(TIAP)上海专家共识,提出TIAP植入的适应证和禁忌证,对植入部位选择、术前准备、术中注意事项、围手术期和长期并发症预防与处理、TIAP维护要点进行概括说明。本共识编写以查阅文献为主,亦参考专家经验,以期能够为中心静脉通路安全发展提供有力保障,推动TIAP植入与维护的健康发展。


[1] Niederhuber JE, Ensminger W, Gyves JW, et al. Totally implanted venous and arterial access system to replace external catheters in cancer treatment[J]. Surgery, 1982, 92: 706- 712.
[2] Kreis H, Loehberg CR, Lux MP, et al. Patients’ attitudes to totally implantable venous access port systems for gynecological or breast malignancies[J]. Eur J Surg Oncol, 2007, 33: 39- 43.
[3] Ignatov A, Hoffman O, Smith B, et al. An 11- year retrospective study of totally implanted central venous access ports: complications and patient satisfaction[J]. Eur J Surg Oncol, 2009, 35: 241- 246.
[4] Ruesch S, Walder B, Tramer MR. Complications of central venous catheters: internal jugular versus subclavian access—a systematic review[J]. Crit Care Med, 2002, 30: 454- 460.
[5] Lorente L, Henry C, Martin MM, et al. Central venous catheter- related infection in a prospective and observational study of 2,595 catheters[J]. Crit Care, 2005, 9: R631- R635.
[6] American Society of Anesthesiologists Task Force on Central Venous Access, Rupp SM, Apfelbaum JL, et al. Practice guidelines for central venous access: a report by the American Society of Anesthesiologists Task Force on Central Venous Access[J]. Anesthesiology, 2012, 116: 539- 573.
[7] Biffi R, Orsi F, Pozzi S, et al. Best choice of central venous insertion site for the prevention of catheter- related complications in adult patients who need cancer therapy: a randomized trial[J]. Ann Oncol, 2009, 20: 935- 940.
[8] Marik PE, Flemmer M, Harrison W. The risk of catheter- related bloodstream infection with femoral venous catheters as compared to subclavian and internal jugular venous catheters: a systematic review of the literature and meta- analysis[J]. Crit Care Med, 2012, 40: 2479- 2485.
[9] Geffers C, Meyer E. No reason to conclude that maximal sterile barrier precautions do not reduce catheter- related blood stream infections[J]. Ann Surg, 2011, 253: 212- 213.
[10] 何 卫, 姜在波, 单 鸿, 等. 中心静脉通道的建立及其在临床中的应用[J]. 介入放射学杂志, 2001, 10: 271- 273.
[11] 程永德, 程英升, 颜志平. 常见恶性肿瘤介入治疗指南[M]. 北京: 科学出版社, 2013.
[12] Aslamy Z, Dewald CL, Heffner JE. MRI of central venous anatomy. Implications for central venous catheter insertion[J]. Chest 1998, 114: 820- 826.
[13] Petersen J, Delaney JH, Brakstad MT, et al. Silicone venous access devices positioned with their tips high in the superior vena cava are more likely to malfunction[J]. Am J Surg, 1999, 178: 38- 41.
[14] Cohn DE, Mutch DG, Rader JS, et al. Factors predicting subcutaneous implanted central venous port function: the relationship between catheter tip location and port failure in patients with gynecologic malignancies[J]. Gynecol Oncol, 2001, 83: 533- 536.
[15] 许立超, 李文涛, 李国栋, 等. DSA引导下胸壁完全性植入式静脉输液港应用总结[J]. 中国癌症杂志, 2010, 20: 557- 558.
[16] Oner B, Karam AR, Surapaneni P, et al. Pneumothorax following ultrasound- guided jugular vein puncture for central venous access in interventional radiology: 4 years of experience[J]. J Intensive Care Med, 2012, 27: 370- 372.
[17] Teichgr?覿ber UM, Kausche S, Nagel SN, et al. Outcome analysis in 3,160 implantations of radiologically guided placements of totally implantable central venous port systems[J]. Eur Radiol, 2011, 21: 1224- 1232.
[18] Polderman KH, Girbes AR. Central venous catheter use[J]. Intensive Care Med, 2002, 28: 1- 17.
[19] Salwender HJ, Egerer G, Bach A, et al. Central venous catheter- related complications[J]. Antibiot Chemother (1971), 2000, 50: 133- 143.
[20] Vesely TM. Air embolism during insertion of central venous catheters[J]. J Vasc Interv Radiol, 2001, 12: 1291- 1295.
[21] Harford FJ, Kleinsasser J. Fatal cardiac tamponade in a patient receiving total parenteral nutrition via a silastic central venous catheter[J]. JPEN J Parenter Enteral Nutr, 1984, 8: 443- 446.
[22] Chang HM, Hsieh CB, Hsieh HF, 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.
[23] Raad I, Hanna H, Maki D. Intravascular catheter- related infections: advances in diagnosis, prevention, and management[J]. Lancet Infect Dis, 2007, 7: 645- 657.
[24] Ge X, Cavallazzi R, Li C, et al. Central venous access sites for the prevention of venous thrombosis, stenosis and infection[J]. Cochrane Database Syst Rev, 2012, 3: CD004084.
[25] Breschan C, Platzer M, Jost R, et al. Comparison of catheter- related infection and tip colonization between internal jugular and subclavian central venous catheters in surgical neonates[J]. Anesthesiology, 2007, 107: 946- 953.
[26] Suojanen JN, Brophy DP, Nasser I. Thrombus on indwelling central venous catheters: The histopathology of “Fibrin sheaths”[J]. Cardiovasc Intervent Radiol, 2000, 23: 194- 197.
[27] Mehall JR, Saltzman DA, Jackson RJ, et al. Fibrin sheath enhances central venous catheter infection[J]. Crit Care Med, 2002, 30: 908- 912.
[28] Whigham CJ, Lindsey JI, Goodman CJ, et al. Venous port salvage utilizing low dose tPA[J]. Cardiovasc Intervent Radiol, 2002, 25: 513- 516.
[29] Keehn A, Rabinowitz D, Williams SK, et al. Calcified central venous catheter fibrin sheath:case report and review of the literature[J]. Clin Imaging, 2015, pii: S0899- 7071(15)00175- 8.
[30] Daeihagh P, Jordan J, Chen J, et al. Efficacy of tissue plasminogen activator administration on patency of hemodialysis access catheters[J]. Am J Kidney Dis, 2000, 36: 75- 79.
[31] 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.
[32] 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.
[32] Marcy PY, Ianessi A, Peyrade F. Further data about venous catheter fragmentation[J]. Angiology, 2008, 59: 643- 644.
[33] 熊 斌, 郑传胜, 王 奇, 等. 泥鳅导丝配合鹅颈套圈成圈技术在抓取腔内管状异物中的应用[J]. 介入放射学杂志, 2014, 23: 630- 633.
[34] Aitken DR, Minton JP. The “pinch- off sign”: a warning of impending problems with permanent subclavian catheters[J]. Am J Surg, 148: 633- 636.
[35] 戴宏琴, 薛 嵋. 植入式静脉输液港在肿瘤患者中的应用与护理[J]. 上海护理, 2008, 8: 57- 58.
[36] 李海洋, 黄 金, 高竹林. 完全植入式静脉输液港应用及护理进展[J]. 中华护理杂志, 2012, 47: 953- 956.
[37] 许秀芳, 李晓蓉, 刘玉金. 肿瘤介入护理学[M]. 北京: 科学出版社, 2011.


[2]陈 华,黄新苗,赵仙先,等.64层螺旋CT对主动脉根部形态结构的评价[J].介入放射学杂志,2011,(03):181.
 CHEN Hua,HUANG Xin-miao,ZHAO Xian-xian,et al.Evaluation of morphologic characteristics of the aortic root with 64-slice spiral computed tomography[J].journal interventional radiology,2011,(12):181.
[3]蔡 霞,陈 坚,李青荷,等. 胆道支架联合支架旁125I粒子条植入的护理体会[J].介入放射学杂志,2013,(10):865.
 CAI Xia,CHEN Jian,LI Qing? he,et al. Nursing experience with patients receiving biliary stenting combined with linear 125I seeds strand implantation for inoperable malignant biliary obstruction[J].journal interventional radiology,2013,(12):865.
[4]中心静脉通路上海协作组,上海市抗癌协会实体肿瘤聚焦诊疗专委会血管通路专家委员会.完全植入式输液港上海专家共识(2019) [J].介入放射学杂志,2019,28(12):1123.
 Shanghai Cooperation Group on Central Venous Access,Expert Committee on Vascular Access,Committee of Experts on Focused Diagnosis and Treatment of Solid Tumors,et al.Consensus of Shanghai experts on totally implantable access port(2019)[J].journal interventional radiology,2019,28(12):1123.
[5]仇晓霞,金光鑫,郭 艳,等.手臂和呼吸运动对上臂完全植入式输液港导管尖端位置的影响[J].介入放射学杂志,2022,31(12):1155.
 QIU Xiaoxia,JIN Guangxin,GUO Yan,et al.The influence of arm and breathing movements on the catheter tip position of totally implantable access port implanted via upper arm approach[J].journal interventional radiology,2022,31(12):1155.
[6]潘天帆,高 峰,任冬青,等.完全植入式输液港植入术后导管头端异位介入复位6例[J].介入放射学杂志,2023,32(03):251.
 PAN Tianfan,GAO Feng,REN Dongqing,et al.Interventional restoration for malposition of catheter tip after the placement of totally implantable access port: preliminary results in 6 cases.[J].journal interventional radiology,2023,32(12):251.


(本文编辑:边 佶)
更新日期/Last Update: 2015-12-24