title: Use of a hydrophilic coating wire reduces significantly the rate of central vein punctures and the incidence of pneumothorax in totally implantable access port (TIAP) surgery
creator: Polychronidis, Georgios
creator: Hennes, Roland
creator: Engerer, Cosima
creator: Knebel, Phillip
creator: Schultze, Daniel
creator: Bruckner, Thomas
creator: Müller-Stich, Beat P.
creator: Fischer, Lars
subject: 570
subject: 570 Life sciences
subject: 610
subject: 610 Medical sciences Medicine
description: Background: Insertion of a Totally Implantable Access Port (TIAP) can be performed either via Central Vein Puncture (CVP) or Brachiocephalic Vein Cut-down (venous section-VS). The primary success rate of TIAP implantation using VS rarely ever achieves 100%. The objective of this study was to describe a modified VS approach using a hydrophilic coated wire (TVS).    Methods: From 01.01.2015 to 31.12.2015, all patients receiving TIAP implantations were screened. During this time, all patients in whom the primary VS procedure was found to be unsuccessful were analysed.    Results: In 2015, 1152 patients had TIAP implantations performed by 24 different surgeons. Of these, 277 patients needed a second line rescue strategy either by CVP (n= 69) or TVS (n= 208). There were no statistically significant differences regarding demographics or indication for TIAP implantation between CVP and TVS. The operation time and the qualification of the operating surgeon between CVP and TVS did not differ significantly. After the introduction of the guidewire with a hydrophilic coated wire, the need for CVP decreased significantly from 12.7% to 8.8% (p< 0.0001). In patients receiving CVP as a second line rescue strategy, the incidence of pneumothorax (n= 3 patients (4.3%)) was significantly higher compared to patients with TVS as a second line rescue strategy (n= 1 patient (0.48%),p=0.02).    Conclusion: The use of a hydrophilic coated wire significantly decreased the number of CVP and the incidence of pneumothorax. TVS is a safe and successful second-line rescue strategy.
publisher: BioMed Central
date: 2017
type: Article
type: info:eu-repo/semantics/article
type: NonPeerReviewed
format: application/pdf
identifier: https://archiv.ub.uni-heidelberg.de/volltextserverhttps://archiv.ub.uni-heidelberg.de/volltextserver/24300/1/12893_2017_Article_329.pdf
identifier: DOI:
identifier: urn:nbn:de:bsz:16-heidok-243003
identifier:   Polychronidis, Georgios ; Hennes, Roland ; Engerer, Cosima ; Knebel, Phillip ; Schultze, Daniel ; Bruckner, Thomas ; Müller-Stich, Beat P. ; Fischer, Lars  (2017) Use of a hydrophilic coating wire reduces significantly the rate of central vein punctures and the incidence of pneumothorax in totally implantable access port (TIAP) surgery.  BMC Surgery, 17 (131).  pp. 1-7.  ISSN 1471-2482     
relation: https://archiv.ub.uni-heidelberg.de/volltextserver/24300/
rights: info:eu-repo/semantics/openAccess
rights: Please see front page of the work (Sorry, Dublin Core plugin does not recognise license id)
language: eng