A Comparison of Outcomes and Complications of Totally Implantable Access Port Through the Internal Jugular Vein Versus the Subclavian Vein

• DOI: 10.9738/intsurg-d-13-00185.1
• Publication Date: 2014-03-26T20:44:34Z
• Authors: Yoshinobu Nagasawa; Tomoharu Shimizu; Hiromichi Sonoda; Eiji Mekata; Masato Wakabayashi; Hiroyuki Ohta; Satoshi Murata; Tsuyoshi Mori; Shigeyuki Naka; Tohru Tani
• Keywords: Subclavian vein; Internal jugular vein; Port (circuit theory)

Abstract Totally implantable access ports (TIAPs) are generally used in oncology. Few studies have addressed complications associated with the insertion site. A total of 233 consecutive oncology patients were enrolled to receive TIAP inserts via internal jugular vein (IJV) or subclavian (SV). Data on clinicopathologic parameters and early/late retrospectively collected. No differences found early late complication rates. Catheter injury was observed more frequently IJV group (2.9%) than SV (1.0%) without statistical significance. Multivariate logistic regression analysis showed that age, switch palliative use TIAP, distribution diseases (low risk colorectal cancer) independent factors for determining complications. In conclusion, site no impact appears occur at same frequency both approaches. Therefore, medical doctors may choose their preferred puncture when performing insertion.