Risk Factors and Possible Mechanisms of Intravenous Port Catheter Migration
Abstract Objective To identify the risk factors for catheter migration and demonstrate possible mechanisms of this migration. Design Retrospective study. Setting Chang Gung Memorial Hospital, a tertiary medical centre in Taiwan. Patients Patients who underwent implantation of intravenous ports via t...
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| Veröffentlicht in: | European journal of vascular and endovascular surgery 2012-07, Vol.44 (1), p.82-87 |
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| container_title | European journal of vascular and endovascular surgery |
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| creator | Wu, C.-Y Fu, J.-Y Feng, P.-H Liu, Y.-H Wu, C.-F Kao, T.-C Yu, S.-Y Ko, P.-J Hsieh, H.-C |
| description | Abstract Objective To identify the risk factors for catheter migration and demonstrate possible mechanisms of this migration. Design Retrospective study. Setting Chang Gung Memorial Hospital, a tertiary medical centre in Taiwan. Patients Patients who underwent implantation of intravenous ports via the superior vena cava (SVC). Interventions Procedures involving catheter placement and re-intervention for catheter migration. Main outcome measures The anatomic location of the catheter tip was confirmed by plain chest X-rays (postero-anterior view). From these plain radiographs, the distance (in cm) between the carina and catheter tip and the angle (in degrees) between the locking nut and catheter were measured. Methods A total of 1542 procedures related to intravenous port implantation were retrospectively reviewed but only procedures involving implantation via the SVC were included in the analysis. The study group was composed of 31 interventions because of catheter migration, while the control group consisted of 1475 implantation and re-intervention procedures except those involving catheter migrations. Results Shallow catheter-tip location ( p |
| doi_str_mv | 10.1016/j.ejvs.2012.03.010 |
| format | Article |
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Design Retrospective study. Setting Chang Gung Memorial Hospital, a tertiary medical centre in Taiwan. Patients Patients who underwent implantation of intravenous ports via the superior vena cava (SVC). Interventions Procedures involving catheter placement and re-intervention for catheter migration. Main outcome measures The anatomic location of the catheter tip was confirmed by plain chest X-rays (postero-anterior view). From these plain radiographs, the distance (in cm) between the carina and catheter tip and the angle (in degrees) between the locking nut and catheter were measured. Methods A total of 1542 procedures related to intravenous port implantation were retrospectively reviewed but only procedures involving implantation via the SVC were included in the analysis. The study group was composed of 31 interventions because of catheter migration, while the control group consisted of 1475 implantation and re-intervention procedures except those involving catheter migrations. Results Shallow catheter-tip location ( p < 0.0001) and the presence of lung cancer ( p = 0.006) were risk factors for catheter migration. Conclusions Shallow catheter-tip location and the presence of lung cancer are risk factors for catheter migration. Strategies that ensure low catheter-tip location and avoid increased thoracic pressure may be useful preventive measures.</description><identifier>ISSN: 1078-5884</identifier><identifier>EISSN: 1532-2165</identifier><identifier>DOI: 10.1016/j.ejvs.2012.03.010</identifier><identifier>PMID: 22531452</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Blood Vessel Prosthesis Implantation - adverse effects ; Blood Vessel Prosthesis Implantation - methods ; Catheter migration ; Catheterization, Central Venous - adverse effects ; Catheterization, Central Venous - instrumentation ; Child ; Equipment Failure ; Female ; Foreign-Body Migration - epidemiology ; Foreign-Body Migration - etiology ; Heart Atria ; Humans ; Incidence ; Intravenous port ; Male ; Mechanisms ; Middle Aged ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Surgery ; Taiwan - epidemiology ; Vena Cava, Superior ; Young Adult</subject><ispartof>European journal of vascular and endovascular surgery, 2012-07, Vol.44 (1), p.82-87</ispartof><rights>European Society for Vascular Surgery</rights><rights>2012 European Society for Vascular Surgery</rights><rights>Copyright © 2012 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c521t-72903a34d6750251e31a97ded7f833bdda7122fab6598b27963a5e1776bf76b03</citedby><cites>FETCH-LOGICAL-c521t-72903a34d6750251e31a97ded7f833bdda7122fab6598b27963a5e1776bf76b03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ejvs.2012.03.010$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22531452$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wu, C.-Y</creatorcontrib><creatorcontrib>Fu, J.-Y</creatorcontrib><creatorcontrib>Feng, P.-H</creatorcontrib><creatorcontrib>Liu, Y.-H</creatorcontrib><creatorcontrib>Wu, C.-F</creatorcontrib><creatorcontrib>Kao, T.-C</creatorcontrib><creatorcontrib>Yu, S.-Y</creatorcontrib><creatorcontrib>Ko, P.-J</creatorcontrib><creatorcontrib>Hsieh, H.-C</creatorcontrib><title>Risk Factors and Possible Mechanisms of Intravenous Port Catheter Migration</title><title>European journal of vascular and endovascular surgery</title><addtitle>Eur J Vasc Endovasc Surg</addtitle><description>Abstract Objective To identify the risk factors for catheter migration and demonstrate possible mechanisms of this migration. Design Retrospective study. Setting Chang Gung Memorial Hospital, a tertiary medical centre in Taiwan. Patients Patients who underwent implantation of intravenous ports via the superior vena cava (SVC). Interventions Procedures involving catheter placement and re-intervention for catheter migration. Main outcome measures The anatomic location of the catheter tip was confirmed by plain chest X-rays (postero-anterior view). From these plain radiographs, the distance (in cm) between the carina and catheter tip and the angle (in degrees) between the locking nut and catheter were measured. Methods A total of 1542 procedures related to intravenous port implantation were retrospectively reviewed but only procedures involving implantation via the SVC were included in the analysis. The study group was composed of 31 interventions because of catheter migration, while the control group consisted of 1475 implantation and re-intervention procedures except those involving catheter migrations. Results Shallow catheter-tip location ( p < 0.0001) and the presence of lung cancer ( p = 0.006) were risk factors for catheter migration. Conclusions Shallow catheter-tip location and the presence of lung cancer are risk factors for catheter migration. Strategies that ensure low catheter-tip location and avoid increased thoracic pressure may be useful preventive measures.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Blood Vessel Prosthesis Implantation - adverse effects</subject><subject>Blood Vessel Prosthesis Implantation - methods</subject><subject>Catheter migration</subject><subject>Catheterization, Central Venous - adverse effects</subject><subject>Catheterization, Central Venous - instrumentation</subject><subject>Child</subject><subject>Equipment Failure</subject><subject>Female</subject><subject>Foreign-Body Migration - epidemiology</subject><subject>Foreign-Body Migration - etiology</subject><subject>Heart Atria</subject><subject>Humans</subject><subject>Incidence</subject><subject>Intravenous port</subject><subject>Male</subject><subject>Mechanisms</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Surgery</subject><subject>Taiwan - epidemiology</subject><subject>Vena Cava, Superior</subject><subject>Young Adult</subject><issn>1078-5884</issn><issn>1532-2165</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1v1DAQhi0EoqXwBzigHLkkzNjrOJEQElpRqGgF4uNsOfaEOs06re1dqf8eR1s4cOBg2YfnHfl9hrGXCA0Ctm-mhqZDajggb0A0gPCInaIUvObYysflDaqrZddtTtizlCYAkCjkU3bCuRS4kfyUff7m0011bmxeYqpMcNXXJSU_zFRdkb02waddqpaxugg5mgOFZZ8KEnO1NfmaMsXqyv-KJvslPGdPRjMnevFwn7Gf5x9-bD_Vl18-XmzfX9ZWcsy14j0IIzauVRK4RBJoeuXIqbETYnDOKOR8NEMr-27gqm-FkYRKtcNYDogz9vo49zYud3tKWe98sjTPJlD5nkbgAJuei7ag_IjaWGpFGvVt9DsT7wukV4l60qtEvUrUIHSRWEKvHubvhx25v5E_1grw9ghQaXnwFHWynoIl5yPZrN3i_z__3T9xO_vgrZlv6J7StOxjKP406lQy-vu6xnWLWGqh6pX4DX4jlrk</recordid><startdate>20120701</startdate><enddate>20120701</enddate><creator>Wu, C.-Y</creator><creator>Fu, J.-Y</creator><creator>Feng, P.-H</creator><creator>Liu, Y.-H</creator><creator>Wu, C.-F</creator><creator>Kao, T.-C</creator><creator>Yu, S.-Y</creator><creator>Ko, P.-J</creator><creator>Hsieh, H.-C</creator><general>Elsevier Ltd</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120701</creationdate><title>Risk Factors and Possible Mechanisms of Intravenous Port Catheter Migration</title><author>Wu, C.-Y ; Fu, J.-Y ; Feng, P.-H ; Liu, Y.-H ; Wu, C.-F ; Kao, T.-C ; Yu, S.-Y ; Ko, P.-J ; Hsieh, H.-C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c521t-72903a34d6750251e31a97ded7f833bdda7122fab6598b27963a5e1776bf76b03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Blood Vessel Prosthesis Implantation - adverse effects</topic><topic>Blood Vessel Prosthesis Implantation - methods</topic><topic>Catheter migration</topic><topic>Catheterization, Central Venous - adverse effects</topic><topic>Catheterization, Central Venous - instrumentation</topic><topic>Child</topic><topic>Equipment Failure</topic><topic>Female</topic><topic>Foreign-Body Migration - epidemiology</topic><topic>Foreign-Body Migration - etiology</topic><topic>Heart Atria</topic><topic>Humans</topic><topic>Incidence</topic><topic>Intravenous port</topic><topic>Male</topic><topic>Mechanisms</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Surgery</topic><topic>Taiwan - epidemiology</topic><topic>Vena Cava, Superior</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wu, C.-Y</creatorcontrib><creatorcontrib>Fu, J.-Y</creatorcontrib><creatorcontrib>Feng, P.-H</creatorcontrib><creatorcontrib>Liu, Y.-H</creatorcontrib><creatorcontrib>Wu, C.-F</creatorcontrib><creatorcontrib>Kao, T.-C</creatorcontrib><creatorcontrib>Yu, S.-Y</creatorcontrib><creatorcontrib>Ko, P.-J</creatorcontrib><creatorcontrib>Hsieh, H.-C</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of vascular and endovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, C.-Y</au><au>Fu, J.-Y</au><au>Feng, P.-H</au><au>Liu, Y.-H</au><au>Wu, C.-F</au><au>Kao, T.-C</au><au>Yu, S.-Y</au><au>Ko, P.-J</au><au>Hsieh, H.-C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk Factors and Possible Mechanisms of Intravenous Port Catheter Migration</atitle><jtitle>European journal of vascular and endovascular surgery</jtitle><addtitle>Eur J Vasc Endovasc Surg</addtitle><date>2012-07-01</date><risdate>2012</risdate><volume>44</volume><issue>1</issue><spage>82</spage><epage>87</epage><pages>82-87</pages><issn>1078-5884</issn><eissn>1532-2165</eissn><abstract>Abstract Objective To identify the risk factors for catheter migration and demonstrate possible mechanisms of this migration. Design Retrospective study. Setting Chang Gung Memorial Hospital, a tertiary medical centre in Taiwan. Patients Patients who underwent implantation of intravenous ports via the superior vena cava (SVC). Interventions Procedures involving catheter placement and re-intervention for catheter migration. Main outcome measures The anatomic location of the catheter tip was confirmed by plain chest X-rays (postero-anterior view). From these plain radiographs, the distance (in cm) between the carina and catheter tip and the angle (in degrees) between the locking nut and catheter were measured. Methods A total of 1542 procedures related to intravenous port implantation were retrospectively reviewed but only procedures involving implantation via the SVC were included in the analysis. The study group was composed of 31 interventions because of catheter migration, while the control group consisted of 1475 implantation and re-intervention procedures except those involving catheter migrations. Results Shallow catheter-tip location ( p < 0.0001) and the presence of lung cancer ( p = 0.006) were risk factors for catheter migration. Conclusions Shallow catheter-tip location and the presence of lung cancer are risk factors for catheter migration. Strategies that ensure low catheter-tip location and avoid increased thoracic pressure may be useful preventive measures.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>22531452</pmid><doi>10.1016/j.ejvs.2012.03.010</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | European journal of vascular and endovascular surgery, 2012-07, Vol.44 (1), p.82-87 |
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| subjects | Adolescent Adult Aged Aged, 80 and over Blood Vessel Prosthesis Implantation - adverse effects Blood Vessel Prosthesis Implantation - methods Catheter migration Catheterization, Central Venous - adverse effects Catheterization, Central Venous - instrumentation Child Equipment Failure Female Foreign-Body Migration - epidemiology Foreign-Body Migration - etiology Heart Atria Humans Incidence Intravenous port Male Mechanisms Middle Aged Retrospective Studies Risk Assessment Risk Factors Surgery Taiwan - epidemiology Vena Cava, Superior Young Adult |
| title | Risk Factors and Possible Mechanisms of Intravenous Port Catheter Migration |
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