Oops, you're using an old version of your browser so some of the features on this page may not be displaying properly.

MINIMAL Requirements: Google Chrome 24+Mozilla Firefox 20+Internet Explorer 11Opera 15–18Apple Safari 7SeaMonkey 2.15-2.23

Poster display session

1379 - Experience with the implant of vascular access devices by medical oncologist in a non-surgical scenery

Date

10 Sep 2017

Session

Poster display session

Presenters

Alfonso Revuelta

Citation

Annals of Oncology (2017) 28 (suppl_5): v543-v567. 10.1093/annonc/mdx388

Authors

A. Revuelta1, D. Rodríguez Rubí2, M.L. Sánchez Lorenzo3, L. Ruiz Echeverria4, W. Li5, M.P. Solís Hernández5, L. Fáez García5, S. Fernández Arrojo5, C. Iglesias Gómez2, N. Villanueva Palicio1, P. Jimenez Fonseca1, M. Luque Cabal1, C. Álvarez Fernández1, M. Izquierdo6, J.M. Viéitez1, E. Esteban1

Author affiliations

  • 1 Medical Oncology, Hospital Universitario Central de Asturias, 33011 - Oviedo/ES
  • 2 Oncología Médica, Centro Médico Asturias, Oviedo/ES
  • 3 Medical Oncology, MD Anderson Cancer Center Madrid, Madrid/ES
  • 4 Medical Oncology, Hospital de Burgos, Burgos/ES
  • 5 Medical Oncology, Hospital Universitario Central de Asturias, Oviedo/ES
  • 6 Medical Oncology, Hospital de Cabueñes, Gijón/ES
More

Resources

Abstract 1379

Background

Totally implantable central venous catheters are widely used in the management of patients (pts) with malignant diseases in order to facilitate drug delivery for the new therapeutic protocols. These are based on continuous administration and higher doses of chemotherapeutic agents with relative phlebitis problems and supportive treatment. Staff of our department, specially trained on the routinely implant of central venous accesses were in charge of the procedure. The technique was carried out under local anesthesia in a special suite of day hospital, under strict aseptic measures without fluoroscopic control.

Methods

From Sep 94 to January 2017, 1665 devices (port-a-cath systems [PS]) were implanted in 1627 pts, with a median age of 50.5 yr (range 14-81), and median K.I. 70% (50-100), female 982/male 683. Venous access: right interior jugular 983, left subclavian 316, right subclavian 333, left interior jugular 33. A thorax X-ray was performed after each procedure and in 216 pts prophylactic antibiotics were given.

Results

The venous access remained implanted a median of 438 days (1- +2210). Complications occurred in 266 placements (16%): Infections 116 (7%); deep venous thrombosis 66 (4%) obstruction 10 (0.6%); malpositioned 16 (2%); fractures/migration 28 (1.7%); pneumothorax 6 (0.32%); local skin necrosis 7 (0.6%). Five hundred and twenty devices were removed, three hundred and forty-seven (66%) after completing planned therapy and 173 (34%) due to complications [Infections (92), migration (22), malposition (12), venous thrombosis (26), obstruction (11) and skin necrosis (10)]. Cost-effectiveness of venous catheters in a non-surgical scenery compared to devices implanted by interventional vascular radiologists in operating room turned out to be 1000 euro cheaper for each device.

Conclusions

Our experience suggests that implant of vascular access devices by medical oncologist in a non-surgical scenery has similar or even less complications and is more cost effective with regard to radiology suite and operating room placement procedures.

Clinical trial identification

Legal entity responsible for the study

Emilio Esteban, Oncología Médica, Hospital Universitario Central de Asturias.

Funding

None

Disclosure

All authors have declared no conflicts of interest.

This site uses cookies. Some of these cookies are essential, while others help us improve your experience by providing insights into how the site is being used.

For more detailed information on the cookies we use, please check our Privacy Policy.

Customise settings
  • Necessary cookies enable core functionality. The website cannot function properly without these cookies, and you can only disable them by changing your browser preferences.