Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 2667-4947 E-ISSN 2667-5080

Turkish Journal of Vascular Surgery 2017 , Vol 26 , Issue 2
Analysis of totally implantable venous access with modified fast track technique
Serkan Burç Deşer1, Mustafa Kemal Demirağ1
1Department of Cardiovascular Surgery, School of Medicine, Ondokuz Mayıs University, Samsun, Turkey DOI : 10.5606/tjvs.2017.30 Objectives: In this study, we present our experience with fast track technique modifying the cut-down model for totally implantable venous access.

Patients and methods: Between June 2013 and December 2016, a total of 70 patients (33 males, 37 females; mean age 67.7±9.8 years, range 21 to 86 years) in whom a venous port was implanted were retrospectively analyzed. All patients were evaluated in terms of surgery time, early and late complications, and primary success rate and classified on the basis of totally implantable venous access port (TIVAP) technique.

Results: The primary success rate of fast-track TIVAP implantation was 91% (64/70) for the cephalic cut-down technique and 100% (6/6) for the Seldinger technique. No major intraoperative complications related to the procedures were seen. The mean duration of the surgical procedure for the cephalic cut-down technique was 14 min (range, 10 to 22 min) and 32 min (range, 25 to 50 min) for the percutaneous Seldinger technique.

Conclusion: Our study results show that percutaneous Seldinger technique extends the time of TIVAP implantation and, therefore, TIVAP implantation with fast cephalic cut-down technique reduces both the duration of the procedure and serious complication rates such as pneumothorax. Keywords : Cephalic vein; complication; cut-down; totally implantable venous access port

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