TOTALLY IMPLANTABLE VENOUS ACCESS DEVICES IN ONCOLOGY: RETROSPECTIVE ANALYSIS OF 652 PATIENTS
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.34635/rpc.726 |
Resumo: | Introduction: Adequate venous access is essential for the treatment and management of cancer patients. Insertion of totally implantable venous access devices (TIVADs) provide a safe method for chemotherapy (ChT) administration, but it’s not free of complications. We aim to analyze our institution clinical practice experience regarding TIVADs. Materials and Methods: Electronic medical records (EMR) review of all cancer patients that required placement of a TIVAD at Hospital da Luz between January 1st 2008 and December 31st 2014. Results: Clinical data from 652 cancer patients was retrospectively reviewed. The overall incidence of complications was 14.1% (91), with only 6 (0.9%) being early complications (before the first clinical TIVAD utilization). The most common complications were thrombosis (30, 4.5%) and infections (TIVAD related and cutaneous, 24, 3.5%), followed by exteriorization (13, 1.9%) and catheter dysfunction (11,1.6%). 155 TIVADs were removed, the majority (95, 61.3%) because of end of treatment and the remainder (60; 38.7%) due to catheter complications. Discussion: Global complication rate was as expected, however we observed a low rate of early complications, and we didn’t observe any potentially fatal complication related to the procedure. Unlike expected, thrombotic complications were the most frequent, followed by infectious complications. Conclusions: TIVADs insertion is a safe procedure in cancer patients with an apparent low rate of complications with no fatal events identified in this study. |
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TOTALLY IMPLANTABLE VENOUS ACCESS DEVICES IN ONCOLOGY: RETROSPECTIVE ANALYSIS OF 652 PATIENTSCATÉTERES VENOSOS CENTRAIS TOTALMENTE IMPLANTÁVEIS EM ONCOLOGIA: ANÁLISE RETROSPECTIVA DE 652 DOENTESIntroduction: Adequate venous access is essential for the treatment and management of cancer patients. Insertion of totally implantable venous access devices (TIVADs) provide a safe method for chemotherapy (ChT) administration, but it’s not free of complications. We aim to analyze our institution clinical practice experience regarding TIVADs. Materials and Methods: Electronic medical records (EMR) review of all cancer patients that required placement of a TIVAD at Hospital da Luz between January 1st 2008 and December 31st 2014. Results: Clinical data from 652 cancer patients was retrospectively reviewed. The overall incidence of complications was 14.1% (91), with only 6 (0.9%) being early complications (before the first clinical TIVAD utilization). The most common complications were thrombosis (30, 4.5%) and infections (TIVAD related and cutaneous, 24, 3.5%), followed by exteriorization (13, 1.9%) and catheter dysfunction (11,1.6%). 155 TIVADs were removed, the majority (95, 61.3%) because of end of treatment and the remainder (60; 38.7%) due to catheter complications. Discussion: Global complication rate was as expected, however we observed a low rate of early complications, and we didn’t observe any potentially fatal complication related to the procedure. Unlike expected, thrombotic complications were the most frequent, followed by infectious complications. Conclusions: TIVADs insertion is a safe procedure in cancer patients with an apparent low rate of complications with no fatal events identified in this study.Introdução: A presença de um acesso venoso adequado é essencial para o tratamento de doentes com cancro. A inserção de catéteres venosos centrais totalmente implantáveis (CVCTI) permite uma administração segura de quimioterapia, não sendo no entanto, isenta de complicações. O nosso objetivo é analisar a experiência do nosso centro no que respeita a utilização de CVCTI. Materiais e Métodos: Revisão dos registos médicos eletrónicos de todos os doentes com cancro que colocaram um CVCTI no Hospital da Luz, no período entre 1 de Janeiro de 2008 a 31 de Dezembro de 2014. Resultados: Analisaram-se retrospetivamente dados de 652 doentes com cancro. A incidência global de complicações foi 14.1% (91), sendo apenas 0.9% (6) complicações precoces (antes da primeira utilização do CVCTI). As complicações trombóticas (30, 4.5%) e infecciosas (cutâneas e associadas ao CVCTI, 24, 3.5%) foram as mais frequentes, seguindo-se a exteriorização (13, 1.9%) e disfunção do catéter (11, 1.6%). Removeram-se 155 CVCTI, a maioria (95, 61.3%) após o fim do tratamento, e os restantes devido a complicações (60; 38.7%). Discussão: A taxa global de complicações foi de encontro ao esperado, havendo no entanto um baixo número de complicações precoces e nenhuma complicação potencialmente fatal associada ao procedimento foi identificada. Ao contrário do expectável as complicações trombóticas foram as mais frequentes, seguindo-se as infecciosas. Conclusões: A inserção de CVCTI em doentes com cancro é um procedimento seguro, com uma taxa baixa de complicações sem nenhum evento fatal identificado neste estudo. Sociedade Portuguesa de Cirurgia2020-07-02info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34635/rpc.726https://doi.org/10.34635/rpc.726Revista Portuguesa de Cirurgia; No 47 (2020): Number 47 - June 2020; 41-47Revista Portuguesa de Cirurgia; No 47 (2020): Number 47 - June 2020; 41-472183-11651646-6918reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://revista.spcir.com/index.php/spcir/article/view/726https://revista.spcir.com/index.php/spcir/article/view/726/545Copyright (c) 2020 Revista Portuguesa de Cirurgiainfo:eu-repo/semantics/openAccessFerreira da Silva, FilipaNovais de Carvalho, VanessaMoraes Sarmento, PedroNave, MónicaPassos-Coelho, José Luís2024-03-14T22:04:30Zoai:revista.spcir.com:article/726Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T04:00:39.381466Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
TOTALLY IMPLANTABLE VENOUS ACCESS DEVICES IN ONCOLOGY: RETROSPECTIVE ANALYSIS OF 652 PATIENTS CATÉTERES VENOSOS CENTRAIS TOTALMENTE IMPLANTÁVEIS EM ONCOLOGIA: ANÁLISE RETROSPECTIVA DE 652 DOENTES |
title |
TOTALLY IMPLANTABLE VENOUS ACCESS DEVICES IN ONCOLOGY: RETROSPECTIVE ANALYSIS OF 652 PATIENTS |
spellingShingle |
TOTALLY IMPLANTABLE VENOUS ACCESS DEVICES IN ONCOLOGY: RETROSPECTIVE ANALYSIS OF 652 PATIENTS Ferreira da Silva, Filipa |
title_short |
TOTALLY IMPLANTABLE VENOUS ACCESS DEVICES IN ONCOLOGY: RETROSPECTIVE ANALYSIS OF 652 PATIENTS |
title_full |
TOTALLY IMPLANTABLE VENOUS ACCESS DEVICES IN ONCOLOGY: RETROSPECTIVE ANALYSIS OF 652 PATIENTS |
title_fullStr |
TOTALLY IMPLANTABLE VENOUS ACCESS DEVICES IN ONCOLOGY: RETROSPECTIVE ANALYSIS OF 652 PATIENTS |
title_full_unstemmed |
TOTALLY IMPLANTABLE VENOUS ACCESS DEVICES IN ONCOLOGY: RETROSPECTIVE ANALYSIS OF 652 PATIENTS |
title_sort |
TOTALLY IMPLANTABLE VENOUS ACCESS DEVICES IN ONCOLOGY: RETROSPECTIVE ANALYSIS OF 652 PATIENTS |
author |
Ferreira da Silva, Filipa |
author_facet |
Ferreira da Silva, Filipa Novais de Carvalho, Vanessa Moraes Sarmento, Pedro Nave, Mónica Passos-Coelho, José Luís |
author_role |
author |
author2 |
Novais de Carvalho, Vanessa Moraes Sarmento, Pedro Nave, Mónica Passos-Coelho, José Luís |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Ferreira da Silva, Filipa Novais de Carvalho, Vanessa Moraes Sarmento, Pedro Nave, Mónica Passos-Coelho, José Luís |
description |
Introduction: Adequate venous access is essential for the treatment and management of cancer patients. Insertion of totally implantable venous access devices (TIVADs) provide a safe method for chemotherapy (ChT) administration, but it’s not free of complications. We aim to analyze our institution clinical practice experience regarding TIVADs. Materials and Methods: Electronic medical records (EMR) review of all cancer patients that required placement of a TIVAD at Hospital da Luz between January 1st 2008 and December 31st 2014. Results: Clinical data from 652 cancer patients was retrospectively reviewed. The overall incidence of complications was 14.1% (91), with only 6 (0.9%) being early complications (before the first clinical TIVAD utilization). The most common complications were thrombosis (30, 4.5%) and infections (TIVAD related and cutaneous, 24, 3.5%), followed by exteriorization (13, 1.9%) and catheter dysfunction (11,1.6%). 155 TIVADs were removed, the majority (95, 61.3%) because of end of treatment and the remainder (60; 38.7%) due to catheter complications. Discussion: Global complication rate was as expected, however we observed a low rate of early complications, and we didn’t observe any potentially fatal complication related to the procedure. Unlike expected, thrombotic complications were the most frequent, followed by infectious complications. Conclusions: TIVADs insertion is a safe procedure in cancer patients with an apparent low rate of complications with no fatal events identified in this study. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-07-02 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.34635/rpc.726 https://doi.org/10.34635/rpc.726 |
url |
https://doi.org/10.34635/rpc.726 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://revista.spcir.com/index.php/spcir/article/view/726 https://revista.spcir.com/index.php/spcir/article/view/726/545 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2020 Revista Portuguesa de Cirurgia info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2020 Revista Portuguesa de Cirurgia |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Cirurgia |
dc.source.none.fl_str_mv |
Revista Portuguesa de Cirurgia; No 47 (2020): Number 47 - June 2020; 41-47 Revista Portuguesa de Cirurgia; No 47 (2020): Number 47 - June 2020; 41-47 2183-1165 1646-6918 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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