IMR Press / EJGO / Volume 29 / Issue 2 / pii/1630995395710-1241758011

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research
Tunneled central venous catheters in a gynecologic oncology service: operative and short-term complications
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1 Indiana Women’s Oncology, St. Vincent Hospitals, Indianapolis, IN
2 Division of Gynecologic Oncology, Holden Comprehensive Cancer Center, University of Iowa, IA City (USA)
Eur. J. Gynaecol. Oncol. 2008, 29(2), 141–143;
Published: 10 April 2008
Abstract

Purpose: To determine the difference in the immediate complication rate between placement of long-term central venous catheters (LTCVCs) by the percutaneous versus jugular venous cutdown method. Method: Case lists were examined to determine the number of LTCVCs placed during the designated time period. Medical records, operative reports, and chest roentgenograms were examined to extract pertinent information. Immediate complications included complications occurring in the operating room until 30 days postoperatively. Complications included misplacement of the catheter requiring an adjustment or a repeat procedure, pneumothorax, hydrothorax, or hemothorax, operative site or tunnel infection, and line migration requiring removal. Results: Five hundred and one patients had LTCVCs placed during the period of this study. This included 399 totally implantable venous access devices (TIVADs) and 102 free access venous access devices (FAVADs) with 163 placed percutaneously into subclavian veins and 338 placed by cutdown into jugular veins. There was a significant increased risk in the overall immediate complication rate for the percutaneous placement compared to venous cutdown (p < 0.001). Also, pneumothorax was more common with the percutaneous approach compared to the venous cutdown approach (p < 0.001). Conclusions: Immediate complications, especially pneumothorax, were more common when placing catheters by the percutaneous approach as compared to the venous cutdown approach.
Keywords
Implanted catheters
Central venous catheters
Gynecologic oncology
Percutaneous
Venous cutdown
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