Background:Port-A-Cath systems(PCS)are safe and convenient devices for long-term infusion in patients with malignant tumors.This study retrospectively analyzed the complications from PCS and their management.Methods:D...Background:Port-A-Cath systems(PCS)are safe and convenient devices for long-term infusion in patients with malignant tumors.This study retrospectively analyzed the complications from PCS and their management.Methods:Data of 1695 adults(641 males and 1054 females)with malignant tumors who underwent PCS implantation in our center from January 1,2009 to December 31,2019 who had complete follow-up records were collected in this study.The early and late complications and corresponding treatments were studied.Results:A total of 1716 PCSs were implanted;21 patients underwent 2 implantations each.The success rate was100%and no severe complications occurred during implantation.The overall occurrence rate of post-implantation complications was 18.5%(318/1716);5.5%(94/1716)were early complications and 13.0%(224/1716)were late complications.A total of 451 PCSs were removed,of which 398 were removed due to the end of chemotherapy,while 53 were removed because of complications.A total of 4 deaths occurred from these complications.Conclusions:The incidence of intra-and post-operative complications is low.In most cases,complications can be effectively controlled without the removal of the PCS and regular follow-up and maintenance are critical.展开更多
Objective:This study aimed to explore the incidence of abnormal catheter positioning and the effectiveness and safety of intravascular adjustment or removal of abnormally positioned catheters through percutaneous punc...Objective:This study aimed to explore the incidence of abnormal catheter positioning and the effectiveness and safety of intravascular adjustment or removal of abnormally positioned catheters through percutaneous punctures.Materials and methods:A retrospective analysis was conducted on 58 patients with abnormal catheter positioning,treated between January 2009 and June 2019.Intravascular adjustment of the migrated catheters and removal of the fractured catheters were performed through percutaneous puncture using a pigtail catheter,cobra catheter,and gooseneck snare.Results:Of the 58 cases,there were 23 cases of catheter migration and 35 cases of catheter fracture.The incidence of abnormal catheter positioning was 3.0%,corresponding to 1.2%migrations and 1.8%fractures.Among the 23cases of migration,1 case did not require adjustment and another underwent unsuccessful adjustment.The rate of successful adjustment of migrated catheters was 91.3%,whereas the rate of successful removal of fractured catheters was 100%.No surgery-related complications were observed either immediately or during the 1-month follow-up period.Conclusions:This study showed that the incidence of abnormal catheter positioning is low.Intravascular techniques used for the adjustment or removal of abnormally placed catheters are safe,efficient,and minimally invasive.展开更多
文摘Background:Port-A-Cath systems(PCS)are safe and convenient devices for long-term infusion in patients with malignant tumors.This study retrospectively analyzed the complications from PCS and their management.Methods:Data of 1695 adults(641 males and 1054 females)with malignant tumors who underwent PCS implantation in our center from January 1,2009 to December 31,2019 who had complete follow-up records were collected in this study.The early and late complications and corresponding treatments were studied.Results:A total of 1716 PCSs were implanted;21 patients underwent 2 implantations each.The success rate was100%and no severe complications occurred during implantation.The overall occurrence rate of post-implantation complications was 18.5%(318/1716);5.5%(94/1716)were early complications and 13.0%(224/1716)were late complications.A total of 451 PCSs were removed,of which 398 were removed due to the end of chemotherapy,while 53 were removed because of complications.A total of 4 deaths occurred from these complications.Conclusions:The incidence of intra-and post-operative complications is low.In most cases,complications can be effectively controlled without the removal of the PCS and regular follow-up and maintenance are critical.
文摘Objective:This study aimed to explore the incidence of abnormal catheter positioning and the effectiveness and safety of intravascular adjustment or removal of abnormally positioned catheters through percutaneous punctures.Materials and methods:A retrospective analysis was conducted on 58 patients with abnormal catheter positioning,treated between January 2009 and June 2019.Intravascular adjustment of the migrated catheters and removal of the fractured catheters were performed through percutaneous puncture using a pigtail catheter,cobra catheter,and gooseneck snare.Results:Of the 58 cases,there were 23 cases of catheter migration and 35 cases of catheter fracture.The incidence of abnormal catheter positioning was 3.0%,corresponding to 1.2%migrations and 1.8%fractures.Among the 23cases of migration,1 case did not require adjustment and another underwent unsuccessful adjustment.The rate of successful adjustment of migrated catheters was 91.3%,whereas the rate of successful removal of fractured catheters was 100%.No surgery-related complications were observed either immediately or during the 1-month follow-up period.Conclusions:This study showed that the incidence of abnormal catheter positioning is low.Intravascular techniques used for the adjustment or removal of abnormally placed catheters are safe,efficient,and minimally invasive.
