A Stepwise Interventional Strategy for the Removal of Adherent Totally Implanted Central Venous Access Port Catheters
To evaluate the safety and effectiveness of a stepwise interventional strategy for the removal of adherent totally implanted central venous access port catheters, consisting of a guidewire support, antegrade coaxial separation, and retrograde coaxial separation with increasing technical complexity....
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| Veröffentlicht in: | Annals of vascular surgery 2024-09, Vol.106, p.162-167 |
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| container_title | Annals of vascular surgery |
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| creator | Ding, Jia-Yin Li, Lei Fu, Xiao-Rui Xu, Luo Ding, Peng-Xu Lee, Edward Wolfgang |
| description | To evaluate the safety and effectiveness of a stepwise interventional strategy for the removal of adherent totally implanted central venous access port catheters, consisting of a guidewire support, antegrade coaxial separation, and retrograde coaxial separation with increasing technical complexity.
This study has a retrospective design. Thirty-two patients who had failed routine removal of the port catheter and were then transferred to interventional radiology between November 2017 and December 2023 were reviewed. The technical success and complication rates were recorded.
All adherent catheters were successfully removed without catheter fragmentation, using guidewire support (n = 21), antegrade coaxial separation (n = 5), and retrograde coaxial separation (n = 6). The technical success rate was 100%, and no complications occurred.
The proposed stepwise interventional strategy successfully removed adherent port catheters, with good safety and high effectiveness. It appeared to reduce the incidence of catheter fracture during the removal of adherent totally implantable central venous access port catheters. |
| doi_str_mv | 10.1016/j.avsg.2024.03.030 |
| format | Article |
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This study has a retrospective design. Thirty-two patients who had failed routine removal of the port catheter and were then transferred to interventional radiology between November 2017 and December 2023 were reviewed. The technical success and complication rates were recorded.
All adherent catheters were successfully removed without catheter fragmentation, using guidewire support (n = 21), antegrade coaxial separation (n = 5), and retrograde coaxial separation (n = 6). The technical success rate was 100%, and no complications occurred.
The proposed stepwise interventional strategy successfully removed adherent port catheters, with good safety and high effectiveness. It appeared to reduce the incidence of catheter fracture during the removal of adherent totally implantable central venous access port catheters.</description><identifier>ISSN: 0890-5096</identifier><identifier>ISSN: 1615-5947</identifier><identifier>EISSN: 1615-5947</identifier><identifier>DOI: 10.1016/j.avsg.2024.03.030</identifier><identifier>PMID: 38821477</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Catheterization, Central Venous - adverse effects ; Catheterization, Central Venous - instrumentation ; Catheters, Indwelling ; Central Venous Catheters ; Device Removal ; Female ; Humans ; Male ; Middle Aged ; Radiography, Interventional ; Retrospective Studies ; Treatment Outcome</subject><ispartof>Annals of vascular surgery, 2024-09, Vol.106, p.162-167</ispartof><rights>2024</rights><rights>Copyright © 2024. Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c237t-26ad9d92f6327151dab44c2465e700bdd3b7e3cc21cd27a8e5093afc1caec3383</cites><orcidid>0000-0001-9595-5720</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.avsg.2024.03.030$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3541,27915,27916,45986</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38821477$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ding, Jia-Yin</creatorcontrib><creatorcontrib>Li, Lei</creatorcontrib><creatorcontrib>Fu, Xiao-Rui</creatorcontrib><creatorcontrib>Xu, Luo</creatorcontrib><creatorcontrib>Ding, Peng-Xu</creatorcontrib><creatorcontrib>Lee, Edward Wolfgang</creatorcontrib><title>A Stepwise Interventional Strategy for the Removal of Adherent Totally Implanted Central Venous Access Port Catheters</title><title>Annals of vascular surgery</title><addtitle>Ann Vasc Surg</addtitle><description>To evaluate the safety and effectiveness of a stepwise interventional strategy for the removal of adherent totally implanted central venous access port catheters, consisting of a guidewire support, antegrade coaxial separation, and retrograde coaxial separation with increasing technical complexity.
This study has a retrospective design. Thirty-two patients who had failed routine removal of the port catheter and were then transferred to interventional radiology between November 2017 and December 2023 were reviewed. The technical success and complication rates were recorded.
All adherent catheters were successfully removed without catheter fragmentation, using guidewire support (n = 21), antegrade coaxial separation (n = 5), and retrograde coaxial separation (n = 6). The technical success rate was 100%, and no complications occurred.
The proposed stepwise interventional strategy successfully removed adherent port catheters, with good safety and high effectiveness. It appeared to reduce the incidence of catheter fracture during the removal of adherent totally implantable central venous access port catheters.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Catheterization, Central Venous - adverse effects</subject><subject>Catheterization, Central Venous - instrumentation</subject><subject>Catheters, Indwelling</subject><subject>Central Venous Catheters</subject><subject>Device Removal</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Radiography, Interventional</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><issn>0890-5096</issn><issn>1615-5947</issn><issn>1615-5947</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LAzEQhoMotlb_gAfJ0cvWfOxmd8FLKX4UCopWryFNZtstu5uapJX-e1NaPQoDgcnzvjPzInRNyZASKu5WQ7X1iyEjLB0SHoucoD4VNEuyMs1PUZ8UJUkyUooeuvB-RQhlRVqcox4vCkbTPO-jzQi_B1h_1x7wpAvgttCF2naqiX2nAix2uLIOhyXgN2jtNn7YCo_MElwk8cwG1TQ7PGnXjYp6g8ex7SL1CZ3deDzSGrzHr9YFPFbRJs7wl-isUo2Hq-M7QB-PD7PxczJ9eZqMR9NEM56HhAllSlOySnCW04waNU9TzVKRQU7I3Bg-z4Frzag2LFcFxFu5qjTVCjTnBR-g24Pv2tmvDfgg29praOKqEJeTnAieCp4JElF2QLWz3juo5NrVrXI7SYncxy1Xch-33MctCY-1F90c_TfzFsyf5DffCNwfAIhXbmtw0usaOg2mdqCDNLb-z_8HKtiSzg</recordid><startdate>202409</startdate><enddate>202409</enddate><creator>Ding, Jia-Yin</creator><creator>Li, Lei</creator><creator>Fu, Xiao-Rui</creator><creator>Xu, Luo</creator><creator>Ding, Peng-Xu</creator><creator>Lee, Edward Wolfgang</creator><general>Elsevier Inc</general><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><orcidid>https://orcid.org/0000-0001-9595-5720</orcidid></search><sort><creationdate>202409</creationdate><title>A Stepwise Interventional Strategy for the Removal of Adherent Totally Implanted Central Venous Access Port Catheters</title><author>Ding, Jia-Yin ; Li, Lei ; Fu, Xiao-Rui ; Xu, Luo ; Ding, Peng-Xu ; Lee, Edward Wolfgang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c237t-26ad9d92f6327151dab44c2465e700bdd3b7e3cc21cd27a8e5093afc1caec3383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Catheterization, Central Venous - adverse effects</topic><topic>Catheterization, Central Venous - instrumentation</topic><topic>Catheters, Indwelling</topic><topic>Central Venous Catheters</topic><topic>Device Removal</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Radiography, Interventional</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ding, Jia-Yin</creatorcontrib><creatorcontrib>Li, Lei</creatorcontrib><creatorcontrib>Fu, Xiao-Rui</creatorcontrib><creatorcontrib>Xu, Luo</creatorcontrib><creatorcontrib>Ding, Peng-Xu</creatorcontrib><creatorcontrib>Lee, Edward Wolfgang</creatorcontrib><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>Annals of vascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ding, Jia-Yin</au><au>Li, Lei</au><au>Fu, Xiao-Rui</au><au>Xu, Luo</au><au>Ding, Peng-Xu</au><au>Lee, Edward Wolfgang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Stepwise Interventional Strategy for the Removal of Adherent Totally Implanted Central Venous Access Port Catheters</atitle><jtitle>Annals of vascular surgery</jtitle><addtitle>Ann Vasc Surg</addtitle><date>2024-09</date><risdate>2024</risdate><volume>106</volume><spage>162</spage><epage>167</epage><pages>162-167</pages><issn>0890-5096</issn><issn>1615-5947</issn><eissn>1615-5947</eissn><abstract>To evaluate the safety and effectiveness of a stepwise interventional strategy for the removal of adherent totally implanted central venous access port catheters, consisting of a guidewire support, antegrade coaxial separation, and retrograde coaxial separation with increasing technical complexity.
This study has a retrospective design. Thirty-two patients who had failed routine removal of the port catheter and were then transferred to interventional radiology between November 2017 and December 2023 were reviewed. The technical success and complication rates were recorded.
All adherent catheters were successfully removed without catheter fragmentation, using guidewire support (n = 21), antegrade coaxial separation (n = 5), and retrograde coaxial separation (n = 6). The technical success rate was 100%, and no complications occurred.
The proposed stepwise interventional strategy successfully removed adherent port catheters, with good safety and high effectiveness. It appeared to reduce the incidence of catheter fracture during the removal of adherent totally implantable central venous access port catheters.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>38821477</pmid><doi>10.1016/j.avsg.2024.03.030</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-9595-5720</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0890-5096 |
| ispartof | Annals of vascular surgery, 2024-09, Vol.106, p.162-167 |
| issn | 0890-5096 1615-5947 1615-5947 |
| language | eng |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adult Aged Aged, 80 and over Catheterization, Central Venous - adverse effects Catheterization, Central Venous - instrumentation Catheters, Indwelling Central Venous Catheters Device Removal Female Humans Male Middle Aged Radiography, Interventional Retrospective Studies Treatment Outcome |
| title | A Stepwise Interventional Strategy for the Removal of Adherent Totally Implanted Central Venous Access Port Catheters |
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