Predictive Risk Factors for Fracture at Catheter of Totally Implantable Venous Access Devices via Subclavian Vein Insertion

Background: Fracture of totally implantable venous access devices (TIVAD) is a rare but potential serious complication. We aimed to explore the risk factors for fracture at catheter of TIVAD via subclavian vein insertion. Materials and Methods: From January 2008 to July 2010 the records of 34 patients with fractured TIVAD were retrospectively reviewed. The comparison group included 170 randomly selected cases (5 for every patient with a fractured catheter) from 3919 cases of TIVAD implantations without catheter fracture. Variables associated with catheter implantation and the relationship between the catheter and the clavicle were analyzed. Results: Statistical analysis revealed implantation method, duration of implantation, brand of device, and port-clavicle distance were predictive risk factors for catheter fracture on univariate analysis. Duration of implantation ＞200 days and port-clavicle distance ＜2.5 cm were independent risk factors for catheter fracture on multivariate analysis. Stratified analysis indicated that a port-clavicle distance ＜2.5 cm in patients with duration of TIVAD implantation ＞200 days was associated with a significantly increased risk of catheter fracture. Conclusions: We suggested that TIVAD with a port-clavicle distance ＜2.5 cm could be removed to prevent catheter fracture when the implantation duration is more than 200 days.

並列關鍵字

Venous access device ； implantable ； fracture

被引用紀錄

賴炫佑（2014）。探討奈米結構氧化鋅之電子結構與磁性〔碩士論文，淡江大學〕。華藝線上圖書館。https://doi.org/10.6846/TKU.2014.00977

Chen, J. L. (2012). 以x光吸收光譜研究非相稱性輝鈷礦之電子結構及其與熱電性質之關聯性 [doctoral dissertation, Tamkang University]. Airiti Library. https://doi.org/10.6846/TKU.2012.01023

Barve, I. J. (2015). 設計與合成具生物性的雜環小分子 [doctoral dissertation, National Chiao Tung University]. Airiti Library. https://doi.org/10.6842/NCTU.2015.00941

Hsiao, Y. H. (2015). 三維快閃記憶體技術及其特殊現象之研究 [doctoral dissertation, National Chiao Tung University]. Airiti Library. https://doi.org/10.6842/NCTU.2015.00492

胡慧玲（2015）。含多芽氮配位基與d10過渡金屬配位化合物之合成與結構探討〔博士論文，中原大學〕。華藝線上圖書館。https://doi.org/10.6840/cycu201500048

延伸閱讀

Chang, T. C., & Chu, P. J. (2016). A comparative study of functional results of Intra-articular distal radius fractures treated with volar locking plates with or without arthroscopic assistance. Formosan Journal of Musculoskeletal Disorders, 7(4), 207-213. https://doi.org/10.6492/FJMD.20160505
Liang, Y. M., Chang, K. S., Chuang, S. M., Wu, P. C., Chen, C. Y., Chen, Y. Y., Wu, C. J., & Shih, H. M. (2022). Risk Factors Associated with Low Vascular Access Blood Flow After Percutaneous Transluminal Angioplasty. Acta Nephrologica, 36(4), 222-231. https://doi.org/10.6221/AN.202212_36(4).0006
Liu, Y. H., Lin, W. S., Lin, Y. C., Lin, C. Y., Tsai, C. S., & Tsai, Y. T. (2017). A Rare Experience of Infective Residual Sheath in the Wall of the Innominate Vein after Extraction of Implantable-Defibrillators. Acta Cardiologica Sinica, 33(4), 450-452. https://doi.org/10.6515/ACS20160911A
黃建鐘、李少瑛、俞芹英、蔡宏名、阮明昆、陳冠文（1992）。Three-year Experience of Subclavian Vein Double-Lumen Catheters as Temporary Access for Hemodialysis: The Clinical Application of DSA in Subclavian Vein Stenosis。中華放射線醫學雜誌，17(3)，261-266。https://www.airitilibrary.com/Article/Detail?DocID=10188940-199209-17-3-261-266-a
Lin, C. W., Chen, H. H., Li, I. C., Lin, Y. L., & Chen, T. W. (2007). Spontaneous Fracture of Cuffed Dual-Lumen Central Venous Catheters in Hemodialysis Patients. Acta Nephrologica, 21(3), 221-223. https://www.airitilibrary.com/Article/Detail?DocID=10131671-200710-21-3-221-223-a

國際替代計量

Predictive Risk Factors for Fracture at Catheter of Totally Implantable Venous Access Devices via Subclavian Vein Insertion

全文下載

主題瀏覽