To analyze postoperative complications of totally implantable central venous port system (TIPCVP) deployment and develop methods of their prevention” Smolyar et al (2019).
Abstract:
OBJECTIVE: To analyze postoperative complications of totally implantable central venous port system (TIPCVP) deployment and develop methods of their prevention.
MATERIAL AND METHODS: The study involved 43 patients who underwent TIPCVP implantation through right-sided jugular access and 3 patients with migration of the catheter transferred to the Domodedovo Central City Hospital.
RESULTS: There were four perioperative and one early postoperative complication. None of the complications was the reason for removal of TIPCVP. Pinch-off syndrome occurred in two patients who were operated in other hospitals and a catheter was inserted through the right subclavian vein.
CONCLUSION: Injury of the carotid artery and pneumothorax can be avoided by ultrasound navigation during internal jugular vein puncture. Catheterization of the internal jugular vein is useful to avoid pinch-off syndrome. Migration of the catheter is successfully cured by endovascular methods.
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Reference:
Smolyar, A.N., Ginzburg, L.M. and Smirnov, M.A. (2019) Totally implantable central venous port: analysis of complications and their prevention: analysis of complications and their prevention. Khirurgiia. (12), p.13-17. doi: 10.17116/hirurgia201912113.