Peripheral Infusion Ports for Central Venous Access in Patients with Gynecologic Malignancies

During treatment for gynecologic malignancies, many patients require frequent or prolonged intravenous access. Implantable permanent venous access devices are useful in assuring adequate access and improving quality of life. A new technique for central venous access by peripheral placement of a subc...

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Bibliographic Details
Published in:Gynecologic oncology 1996-03, Vol.60 (3), p.397-399
Main Authors: Cunningham, Mary Jadhon, Collins, Mark B., Kredentser, Daniel C., Malfetano, John H.
Format: Article
Language:English
Subjects:
Antineoplastic Agents - administration & dosage
Antineoplastic Agents - therapeutic use
Arm - blood supply
Biological and medical sciences
Catheterization, Central Venous
Catheters, Indwelling - adverse effects
Female
Genital Neoplasms, Female - therapy
Humans
Medical sciences
Parenteral Nutrition, Total
Prospective Studies
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Technology. Biomaterials. Equipments. Material. Instrumentation
Thrombophlebitis - etiology
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Summary:During treatment for gynecologic malignancies, many patients require frequent or prolonged intravenous access. Implantable permanent venous access devices are useful in assuring adequate access and improving quality of life. A new technique for central venous access by peripheral placement of a subcutaneous infusion port was evaluated in 18 women undergoing treatment for gynecologic malignancies. Patients were followed prospectively with a mean follow-up of 105 days. Six catheters required removal because of complications, including 1 patient with a catheter site infection and 5 patients (26%) with catheter-related thrombosis. Although the rate of immediate insertion-related complications was low, the incidence of deep venous thrombosis was markedly increased over that reported with other central venous access devices.
ISSN:0090-8258
1095-6859
DOI:10.1006/gyno.1996.0061