eprintid: 24300
rev_number: 13
eprint_status: archive
userid: 1589
dir: disk0/00/02/43/00
datestamp: 2018-04-25 07:37:53
lastmod: 2024-03-29 21:17:10
status_changed: 2018-04-25 07:37:53
type: article
metadata_visibility: show
creators_name: Polychronidis, Georgios
creators_name: Hennes, Roland
creators_name: Engerer, Cosima
creators_name: Knebel, Phillip
creators_name: Schultze, Daniel
creators_name: Bruckner, Thomas
creators_name: Müller-Stich, Beat P.
creators_name: Fischer, Lars
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
subjects: 570
subjects: 610
divisions: 910200
divisions: 911800
abstract: 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.
date: 2017
publisher: BioMed Central
id_scheme: DOI
ppn_swb: 1655246208
own_urn: urn:nbn:de:bsz:16-heidok-243003
language: eng
bibsort: POLYCHRONIUSEOFAHYDR2017
full_text_status: public
publication: BMC Surgery
volume: 17
number: 131
place_of_pub: London
pagerange: 1-7
issn: 1471-2482
citation:   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     
document_url: https://archiv.ub.uni-heidelberg.de/volltextserver/24300/1/12893_2017_Article_329.pdf