J Cancer 2021; 12(5):1379-1385. doi:10.7150/jca.55343 This issue

Research Paper

Perioperative and Postoperative Complications of Ultrasound-Guided Totally Implantable Venous Access Ports via the Brachiocephalic Vein in Patients with Cancer: A Prospective Study

Xingwei Sun1*, Xuming Bai1*, Yu Zhang2*, Liang Xu3, Zepeng Yu1, Yong Jin1✉, Zhixiang Zhuang4✉

1. Department of Intervention, The Second Affiliated Hospital of Soochow University, Suzhou 215004, Jiangsu, China.
2. Department of Orthopedics, The Second Affiliated Hospital of Soochow University, Suzhou 215004, Jiangsu, China.
3. Department of General Surgery, Changshu Hospital Affiliated to Nanjing University of Chinese Medicine, Changshu, 215500, Jiangsu, China.
4. Department of Oncology, The Second Affiliated Hospital of Soochow University, Suzhou 215004, Jiangsu, China.
* These authors contributed equally to this work.

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Citation:
Sun X, Bai X, Zhang Y, Xu L, Yu Z, Jin Y, Zhuang Z. Perioperative and Postoperative Complications of Ultrasound-Guided Totally Implantable Venous Access Ports via the Brachiocephalic Vein in Patients with Cancer: A Prospective Study. J Cancer 2021; 12(5):1379-1385. doi:10.7150/jca.55343. Available from https://www.jcancer.org/v12p1379.htm

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Abstract

Graphic abstract

Objectives: To evaluate the safety and efficacy of ultrasound (US)-guided totally implantable venous access ports (TIVAPs) via the right brachiocephalic vein (BCV) or the left BCV approach.

Methods: Patients requiring TIVAP for chemotherapy were included in the study. US-guided TIVAPs via BCV were used for patients from July 2018 to December 2018. General information about the patients (sex, age, and diagnosis), side (right or left), surgical procedures and complications were recorded.

Results: A total of 107 TIVAPs in 107 patients (ages 38-73 years) were included, 75 via the right BCV and 32 via the left BCV. All of the patients underwent successful surgery. The BCV was successfully punctured on the first attempt in 99 patients (92.52%). Two attempts were needed in 6 patients (5.61%), and three attempts were necessary in 2 patients (1.87%). The mean operation time was 29 ± 5 min (range: 24 to 38 min). No serious complications occurred during the surgery, except the formation of a local haematoma in 1 case after artery puncture. During the follow-up period of 12 months, the incidence of long-term complications was 3.74% (4/107), including 2 cases of catheter-related infection and 2 cases of fibrin sheath formation. No serious complications such as catheter malposition or rupture were found.

Conclusion: US-guided TIVAP via the BCV offers an alternative for adults with good needle guidance and a low rate of perioperative and postoperative complications.

Keywords: Totally implantable venous access port, brachiocephalic vein, ultrasound