Comparison of the first-attempt success rate among three implantation approaches of the totally implantable venous access ports / 中华临床营养杂志

ABSTRACT

Objective To compare the first-attempt success rate among three implantation approaches of the totally implantable venous access ports (TIVAPs).Methods Totally 351 patients underwent the TIVAP placement in our hospital between April 2002 and May 2012.Venous access was obtained by cutdown in 234 cases,by the Seldinger technique in 41,and by ultrasound-guided Seldinger technique in 76.The first-attempt success rate was calculated and compared among these three groups.Results The first-attempt success rate was 78.6％ (184/234) in the cutdown group,90.2％ (37/41) in the Seldinger technique group,and 100％ (76/76) in the ultrasound-guided Seldinger technique group.Obviously,the success rate in ultrasound guided group was significantly higher than the cutdown group (P =0.000) and the Seldinger group (P =0.014).The incidences of surgical complications were low in all these three groups (2.2％,0,and 0,respectively).Conclusion TIVAPs represent a safe and feasible technique.The preferred placement method is ultrasound-guided Seldinger technique.