PMID- 35241560 OWN - NLM STAT- MEDLINE DCOM- 20220307 LR - 20220405 IS - 1791-7549 (Electronic) IS - 0258-851X (Print) IS - 0258-851X (Linking) VI - 36 IP - 2 DP - 2022 Mar-Apr TI - Safety of Insertion of Percutaneous Totally Implantable Central Venous Access Devices by Surgical Residents. PG - 985-993 LID - 10.21873/invivo.12791 [doi] AB - BACKGROUND/AIM: To compare the outcomes of totally implantable central venous access device (TIVAD) insertions by surgical residents (SRs) with those by experienced surgeons (ESs) and establish the safety of percutaneous TIVAD insertion by SRs. PATIENTS AND METHODS: A total of 700 insertions were successfully performed between January 2015 and December 2019 in our Department. The puncture site conversion and complication rates were compared, and risk factors related to complications were analysed. RESULTS: In total, 84 and 616 insertions were performed in the SR and ES groups, respectively. SRs mainly punctured the internal jugular vein (IJV), and ESs punctured the subclavian vein (SV). The conversion rate from the IJV to SV was similar, whereas that from the SV to IJV was higher by SRs than ESs. Overall, early, and delayed complications were similar between the two groups. CONCLUSION: Percutaneous TIVAD inserted into the IJV by an SR was demonstrated to be safe. CI - Copyright (c) 2022, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved. FAU - Obuchi, Keisuke AU - Obuchi K AD - Department of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Japan. FAU - Imaizumi, Ken AU - Imaizumi K AD - Department of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Japan; imaken1983@gmail.com. FAU - Kasajima, Hiroyuki AU - Kasajima H AD - Department of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Japan. FAU - Kurushima, Michihiro AU - Kurushima M AD - Department of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Japan. FAU - Umehara, Minoru AU - Umehara M AD - Department of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Japan. FAU - Tsuruga, Yousuke AU - Tsuruga Y AD - Department of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Japan. FAU - Yamana, Daisuke AU - Yamana D AD - Department of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Japan. FAU - Sato, Kentaro AU - Sato K AD - Department of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Japan. FAU - Sato, Aya AU - Sato A AD - Department of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Japan. FAU - Suzuki, Shinsaku AU - Suzuki S AD - Department of Breast Surgery, Hakodate Municipal Hospital, Hakodate, Japan. FAU - Nakanishi, Kazuaki AU - Nakanishi K AD - Department of Gastroenterological Surgery, Hakodate Municipal Hospital, Hakodate, Japan. LA - eng PT - Journal Article PL - Greece TA - In Vivo JT - In vivo (Athens, Greece) JID - 8806809 SB - IM MH - *Catheterization, Central Venous/adverse effects MH - Catheters, Indwelling/adverse effects MH - *Internship and Residency MH - Jugular Veins/surgery MH - Subclavian Vein/surgery PMC - PMC8931890 OTO - NOTNLM OT - Percutaneous approach OT - infection OT - surgical education OT - totally implantable central venous access devices OT - ultrasonography COIS- The Authors have no conflicts of interest to declare. EDAT- 2022/03/05 06:00 MHDA- 2022/03/08 06:00 PMCR- 2022/03/03 CRDT- 2022/03/04 05:37 PHST- 2021/12/26 00:00 [received] PHST- 2022/01/18 00:00 [revised] PHST- 2022/01/20 00:00 [accepted] PHST- 2022/03/04 05:37 [entrez] PHST- 2022/03/05 06:00 [pubmed] PHST- 2022/03/08 06:00 [medline] PHST- 2022/03/03 00:00 [pmc-release] AID - 36/2/985 [pii] AID - 10.21873/invivo.12791 [doi] PST - ppublish SO - In Vivo. 2022 Mar-Apr;36(2):985-993. doi: 10.21873/invivo.12791.