PMID- 30724007
OWN - NLM
STAT- MEDLINE
DCOM- 20190628
LR  - 20190628
IS  - 1447-0594 (Electronic)
IS  - 1447-0594 (Linking)
VI  - 19
IP  - 3
DP  - 2019 Mar
TI  - Ultrasound-guided totally implantable venous access device through the right 
      innominate vein in older patients is safe and reliable.
PG  - 218-221
LID - 10.1111/ggi.13611 [doi]
AB  - AIM: Ultrasound guidance has become the routine method for catheterization, 
      dramatically reducing failure and complication rates for totally implantable 
      venous access devices (TIVAD) placement. The aim of the present study was to 
      report the safety and efficacy of ultrasound-guided right innominate vein TIVAD 
      placement in older patients. METHODS: Between September 2015 and September 2017, 
      55 older patients underwent right innominate vein TIVAD placement under 
      ultrasound guidance. Intraoperative fluoroscopy was always carried out. The 
      technical success rate and complications were recorded and retrospectively 
      analyzed. RESULTS: The technical success rate was 100%. The success rate of the 
      first puncture was 96.36% (53/55). The mean operation time was 28 +/- 7 min (range 
      23-39 min), and the mean length of catheter introduction was 19.24 +/- 2.65 cm 
      (range 17-21 cm). The overall incidence of complications was 7.27% (4/55), 
      including one arterial puncture with self-limiting hematoma, two cases of 
      catheter-related infection and one case of fibrin sheath. No catheter malposition 
      or catheter fracture was observed. At the time of this study, three TIVAD were 
      pulled out unexpectedly, and 32 TIVAD are still in functional use. CONCLUSIONS: 
      Ultrasound-guided puncture of the right innominate vein is safe and reliable to 
      implant TIVAD, which can provide new options for older patients. Geriatr Gerontol 
      Int 2019; 19: 218-221.
CI  - (c) 2019 Japan Geriatrics Society.
FAU - Sun, Xingwei
AU  - Sun X
AUID- ORCID: 0000-0002-6639-145X
AD  - Department of Intervention, The Second Affiliated Hospital of Soochow University, 
      Suzhou, China.
FAU - Zhang, Yu
AU  - Zhang Y
AD  - Department of Orthopedics, The Second Affiliated Hospital of Soochow University, 
      Suzhou, China.
FAU - Yang, Chuanlai
AU  - Yang C
AD  - Department of Science and Education, The Second Affiliated Hospital of Soochow 
      University, Suzhou, China.
FAU - Zhou, Yubin
AU  - Zhou Y
AD  - Department of Intervention, The Second Affiliated Hospital of Soochow University, 
      Suzhou, China.
FAU - Bai, Xuming
AU  - Bai X
AD  - Department of Intervention, The Second Affiliated Hospital of Soochow University, 
      Suzhou, China.
FAU - Zheng, Weiwei
AU  - Zheng W
AD  - Department of Orthopedics, Suzhou Hospital affiliated to Nanjing Medical 
      University, Suzhou, China.
FAU - Jin, Yong
AU  - Jin Y
AD  - Department of Intervention, The Second Affiliated Hospital of Soochow University, 
      Suzhou, China.
LA  - eng
GR  - 81 702 806/National Natural Science Foundation of China/
GR  - 81 702 806/National Natural Science Foundation of China/
PT  - Journal Article
DEP - 20190205
PL  - Japan
TA  - Geriatr Gerontol Int
JT  - Geriatrics & gerontology international
JID - 101135738
SB  - IM
MH  - Age Factors
MH  - Aged
MH  - Aged, 80 and over
MH  - Brachiocephalic Veins/*diagnostic imaging/*surgery
MH  - *Catheters, Indwelling
MH  - Female
MH  - Humans
MH  - Male
MH  - Operative Time
MH  - Postoperative Complications/*epidemiology
MH  - Retrospective Studies
MH  - *Ultrasonography, Interventional
MH  - *Vascular Access Devices
OTO - NOTNLM
OT  - cancer
OT  - elderly patients
OT  - innominate vein
OT  - totally implantable venous access devices
OT  - ultrasound guidance
EDAT- 2019/02/07 06:00
MHDA- 2019/06/30 06:00
CRDT- 2019/02/07 06:00
PHST- 2018/11/15 00:00 [revised]
PHST- 2018/08/13 00:00 [received]
PHST- 2018/11/30 00:00 [accepted]
PHST- 2019/02/07 06:00 [pubmed]
PHST- 2019/06/30 06:00 [medline]
PHST- 2019/02/07 06:00 [entrez]
AID - 10.1111/ggi.13611 [doi]
PST - ppublish
SO  - Geriatr Gerontol Int. 2019 Mar;19(3):218-221. doi: 10.1111/ggi.13611. Epub 2019 
      Feb 5.