Introduction: Totally implantable venous access port (TIVAP) is essential prerequisite for most of chemotherapy protocols. Flushing with 0.9% sodium chloride becomes an alternative to heparinized solution. As flushing...Introduction: Totally implantable venous access port (TIVAP) is essential prerequisite for most of chemotherapy protocols. Flushing with 0.9% sodium chloride becomes an alternative to heparinized solution. As flushing and locking solutions are still controversial, this study was conducted to compare efficacy of heparinized solution versus normal saline solution for locking in ports TIVAP. Patients and Methods: Prospective Cohort study performed in teaching hospital Sulaymaniyah-University of Kurdistan, Iraq, including 384 TIVAP implanted in cancer and non-cancer patients. The study reports the TIVAP outcome in 2 groups of patients where 2 different solutions used for maintaining catheter’s patency by heparinized solution in group (A), versus normal saline for group (B). Results: In group A, the rate of complications was 8.2% (n = 16) while in group B complications rate was 7.9% (n = 15). Thrombosis in group A occurred in 1.03% of the cases and in group B was 1.57%. There were no significant differences between the two groups regarding the causes for unwanted removals of the TIVAP. Conclusions: The results of our study suggest that heparin has no role in preventing the early or late complications of TIVAP and we do not recommend using it as a locking solution.展开更多
加强标准化植入式静脉输液港(totally implatend central venous access port devices, TIVAP)方法及健康教育力度,以及团队协作,及时快速有效的处理并发症,减少并发症的发生,对保护患者静脉通路有重要意义。本文总结了1例完全植入式静...加强标准化植入式静脉输液港(totally implatend central venous access port devices, TIVAP)方法及健康教育力度,以及团队协作,及时快速有效的处理并发症,减少并发症的发生,对保护患者静脉通路有重要意义。本文总结了1例完全植入式静脉输液港导管尖端移位脱出颈内静脉至皮下组织的措施,主要导管脱出颈内静脉的因素进行分析,总结预防TIVAP导管脱出的经验。展开更多
文摘Introduction: Totally implantable venous access port (TIVAP) is essential prerequisite for most of chemotherapy protocols. Flushing with 0.9% sodium chloride becomes an alternative to heparinized solution. As flushing and locking solutions are still controversial, this study was conducted to compare efficacy of heparinized solution versus normal saline solution for locking in ports TIVAP. Patients and Methods: Prospective Cohort study performed in teaching hospital Sulaymaniyah-University of Kurdistan, Iraq, including 384 TIVAP implanted in cancer and non-cancer patients. The study reports the TIVAP outcome in 2 groups of patients where 2 different solutions used for maintaining catheter’s patency by heparinized solution in group (A), versus normal saline for group (B). Results: In group A, the rate of complications was 8.2% (n = 16) while in group B complications rate was 7.9% (n = 15). Thrombosis in group A occurred in 1.03% of the cases and in group B was 1.57%. There were no significant differences between the two groups regarding the causes for unwanted removals of the TIVAP. Conclusions: The results of our study suggest that heparin has no role in preventing the early or late complications of TIVAP and we do not recommend using it as a locking solution.
文摘加强标准化植入式静脉输液港(totally implatend central venous access port devices, TIVAP)方法及健康教育力度,以及团队协作,及时快速有效的处理并发症,减少并发症的发生,对保护患者静脉通路有重要意义。本文总结了1例完全植入式静脉输液港导管尖端移位脱出颈内静脉至皮下组织的措施,主要导管脱出颈内静脉的因素进行分析,总结预防TIVAP导管脱出的经验。
