Catheter Fracture of Intravenous Ports and its Management
Background Intravenous ports are widely used for oncology patients. However, catheter fractures may lead to the need for re-intervention. We aimed to identify the risk factors associated with catheter fractures. Methods Between January 1 and December 31, 2006, we retrospectively reviewed the clinica...
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| Veröffentlicht in: | World journal of surgery 2011-11, Vol.35 (11), p.2403-2410 |
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| creator | Wu, Ching-Yang Fu, Jui-Ying Feng, Po-Hao Kao, Tsung-Chi Yu, Sheng-Yueh Li, Hao-Jui Ko, Po-Jen Hsieh, Hung-Chang |
| description | Background
Intravenous ports are widely used for oncology patients. However, catheter fractures may lead to the need for re-intervention. We aimed to identify the risk factors associated with catheter fractures.
Methods
Between January 1 and December 31, 2006, we retrospectively reviewed the clinical data and plain chest films of 1,505 patients implanted with an intravenous port at Chang Gung Memorial Hospital. Different vascular sites were compared using the chi-square or Fisher’s exact test for categorical variables, and the
t
test was used for continuous variables with normal distribution;
P
<
0.05 was considered statistically significant.
Results
There were 59 and 1,448 procedures in the fracture and non-fracture groups, respectively. Monovariate analysis revealed that the risk factors for catheter fracture were as follows: large angle (
P
|
| doi_str_mv | 10.1007/s00268-011-1200-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_898174005</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>898174005</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5168-e961173bb46e666a0adbdb949a5e4cb014ce42c1569ad148113f1817059745ee3</originalsourceid><addsrcrecordid>eNqFkMFu1DAQhi1URJeFB-CCokpVT4EZ23HiY7tiadEikABxtBxn0qbKOq2d0PbtcZWllZCqnsaH7x__8zH2DuEDApQfIwBXVQ6IOXKA_PYFW6AUPOeCiz22AKFkeqPYZ69jvATAUoF6xfY5VhUHIRZMr-x4QSOFbB2sG6dA2dBmZ34M9g_5YYrZ9yGMMbO-ybo0v1pvz2lLfnzDXra2j_R2N5fs1_rTz9Vpvvn2-Wx1vMldgakcaYVYirqWipRSFmxTN7WW2hYkXQ0oHUnusFDaNigrRNFihSUUupQFkViyo3nvVRiuJ4qj2XbRUd9bT6mfqXSiJUCRyIP_yMthCj6VS1AptKxKkSCcIReGGAO15ip0WxvuDIK5t2pmqyZZNfdWzW3KvN8tnuotNQ-JfxoTcLgDbHS2b4P1rouPXCFKxblMnJ65m66nu-d_Nr-__DhZQ6F4lbJ8zsYU8-cUHq97uvlf-hmeKA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>897394873</pqid></control><display><type>article</type><title>Catheter Fracture of Intravenous Ports and its Management</title><source>MEDLINE</source><source>Wiley Online Library All Journals</source><source>SpringerLink Journals - AutoHoldings</source><creator>Wu, Ching-Yang ; Fu, Jui-Ying ; Feng, Po-Hao ; Kao, Tsung-Chi ; Yu, Sheng-Yueh ; Li, Hao-Jui ; Ko, Po-Jen ; Hsieh, Hung-Chang</creator><creatorcontrib>Wu, Ching-Yang ; Fu, Jui-Ying ; Feng, Po-Hao ; Kao, Tsung-Chi ; Yu, Sheng-Yueh ; Li, Hao-Jui ; Ko, Po-Jen ; Hsieh, Hung-Chang</creatorcontrib><description>Background
Intravenous ports are widely used for oncology patients. However, catheter fractures may lead to the need for re-intervention. We aimed to identify the risk factors associated with catheter fractures.
Methods
Between January 1 and December 31, 2006, we retrospectively reviewed the clinical data and plain chest films of 1,505 patients implanted with an intravenous port at Chang Gung Memorial Hospital. Different vascular sites were compared using the chi-square or Fisher’s exact test for categorical variables, and the
t
test was used for continuous variables with normal distribution;
P
<
0.05 was considered statistically significant.
Results
There were 59 and 1,448 procedures in the fracture and non-fracture groups, respectively. Monovariate analysis revealed that the risk factors for catheter fracture were as follows: large angle (
P
< 0.0001), female gender (
P
< 0.0008), subclavian route (
P
< 0.0001), and port type Arrow French (Fr.) 8.1 (
P
< 0.0001). Because these risk factors showed no interaction effects, they were all considered independent risk factors. When all factors were considered together, all risk factors, except angle and age, retained their statistical significance.
Conclusions
Most catheter fractures were caused by material weakness. If catheter fracture is confirmed, further intervention for port and catheter removal is recommended. Female gender, intravenous port implantation via the subclavian route, and the Arrow Fr. 8.1 port were found to be risk factors. Patients with these risk factors should be monitored closely to avoid catheter fractures.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-011-1200-x</identifier><identifier>PMID: 21882033</identifier><identifier>CODEN: WJSUDI</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Abdominal Surgery ; Aged ; Biological and medical sciences ; Cardiac Surgery ; Catheter ; Catheter Removal ; Catheterization, Central Venous - instrumentation ; Catheterization, Central Venous - methods ; Catheters, Indwelling - adverse effects ; Cephalic Vein ; Equipment Failure - statistics & numerical data ; Female ; General aspects ; General Surgery ; Humans ; Logistic Models ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Middle Aged ; Retrospective Studies ; Right Atrium ; Risk Factors ; Sex Factors ; Superior Vena Cava ; Surgery ; Thoracic Surgery ; Vascular Surgery</subject><ispartof>World journal of surgery, 2011-11, Vol.35 (11), p.2403-2410</ispartof><rights>Société Internationale de Chirurgie 2011</rights><rights>2011 The Author(s) under exclusive licence to Société Internationale de Chirurgie</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5168-e961173bb46e666a0adbdb949a5e4cb014ce42c1569ad148113f1817059745ee3</citedby><cites>FETCH-LOGICAL-c5168-e961173bb46e666a0adbdb949a5e4cb014ce42c1569ad148113f1817059745ee3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00268-011-1200-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00268-011-1200-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,41487,42556,45573,45574,51318</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25376224$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21882033$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wu, Ching-Yang</creatorcontrib><creatorcontrib>Fu, Jui-Ying</creatorcontrib><creatorcontrib>Feng, Po-Hao</creatorcontrib><creatorcontrib>Kao, Tsung-Chi</creatorcontrib><creatorcontrib>Yu, Sheng-Yueh</creatorcontrib><creatorcontrib>Li, Hao-Jui</creatorcontrib><creatorcontrib>Ko, Po-Jen</creatorcontrib><creatorcontrib>Hsieh, Hung-Chang</creatorcontrib><title>Catheter Fracture of Intravenous Ports and its Management</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><addtitle>World J Surg</addtitle><description>Background
Intravenous ports are widely used for oncology patients. However, catheter fractures may lead to the need for re-intervention. We aimed to identify the risk factors associated with catheter fractures.
Methods
Between January 1 and December 31, 2006, we retrospectively reviewed the clinical data and plain chest films of 1,505 patients implanted with an intravenous port at Chang Gung Memorial Hospital. Different vascular sites were compared using the chi-square or Fisher’s exact test for categorical variables, and the
t
test was used for continuous variables with normal distribution;
P
<
0.05 was considered statistically significant.
Results
There were 59 and 1,448 procedures in the fracture and non-fracture groups, respectively. Monovariate analysis revealed that the risk factors for catheter fracture were as follows: large angle (
P
< 0.0001), female gender (
P
< 0.0008), subclavian route (
P
< 0.0001), and port type Arrow French (Fr.) 8.1 (
P
< 0.0001). Because these risk factors showed no interaction effects, they were all considered independent risk factors. When all factors were considered together, all risk factors, except angle and age, retained their statistical significance.
Conclusions
Most catheter fractures were caused by material weakness. If catheter fracture is confirmed, further intervention for port and catheter removal is recommended. Female gender, intravenous port implantation via the subclavian route, and the Arrow Fr. 8.1 port were found to be risk factors. Patients with these risk factors should be monitored closely to avoid catheter fractures.</description><subject>Abdominal Surgery</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cardiac Surgery</subject><subject>Catheter</subject><subject>Catheter Removal</subject><subject>Catheterization, Central Venous - instrumentation</subject><subject>Catheterization, Central Venous - methods</subject><subject>Catheters, Indwelling - adverse effects</subject><subject>Cephalic Vein</subject><subject>Equipment Failure - statistics & numerical data</subject><subject>Female</subject><subject>General aspects</subject><subject>General Surgery</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Right Atrium</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Superior Vena Cava</subject><subject>Surgery</subject><subject>Thoracic Surgery</subject><subject>Vascular Surgery</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkMFu1DAQhi1URJeFB-CCokpVT4EZ23HiY7tiadEikABxtBxn0qbKOq2d0PbtcZWllZCqnsaH7x__8zH2DuEDApQfIwBXVQ6IOXKA_PYFW6AUPOeCiz22AKFkeqPYZ69jvATAUoF6xfY5VhUHIRZMr-x4QSOFbB2sG6dA2dBmZ34M9g_5YYrZ9yGMMbO-ybo0v1pvz2lLfnzDXra2j_R2N5fs1_rTz9Vpvvn2-Wx1vMldgakcaYVYirqWipRSFmxTN7WW2hYkXQ0oHUnusFDaNigrRNFihSUUupQFkViyo3nvVRiuJ4qj2XbRUd9bT6mfqXSiJUCRyIP_yMthCj6VS1AptKxKkSCcIReGGAO15ip0WxvuDIK5t2pmqyZZNfdWzW3KvN8tnuotNQ-JfxoTcLgDbHS2b4P1rouPXCFKxblMnJ65m66nu-d_Nr-__DhZQ6F4lbJ8zsYU8-cUHq97uvlf-hmeKA</recordid><startdate>201111</startdate><enddate>201111</enddate><creator>Wu, Ching-Yang</creator><creator>Fu, Jui-Ying</creator><creator>Feng, Po-Hao</creator><creator>Kao, Tsung-Chi</creator><creator>Yu, Sheng-Yueh</creator><creator>Li, Hao-Jui</creator><creator>Ko, Po-Jen</creator><creator>Hsieh, Hung-Chang</creator><general>Springer-Verlag</general><general>Springer‐Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</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>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>201111</creationdate><title>Catheter Fracture of Intravenous Ports and its Management</title><author>Wu, Ching-Yang ; Fu, Jui-Ying ; Feng, Po-Hao ; Kao, Tsung-Chi ; Yu, Sheng-Yueh ; Li, Hao-Jui ; Ko, Po-Jen ; Hsieh, Hung-Chang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5168-e961173bb46e666a0adbdb949a5e4cb014ce42c1569ad148113f1817059745ee3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Abdominal Surgery</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cardiac Surgery</topic><topic>Catheter</topic><topic>Catheter Removal</topic><topic>Catheterization, Central Venous - instrumentation</topic><topic>Catheterization, Central Venous - methods</topic><topic>Catheters, Indwelling - adverse effects</topic><topic>Cephalic Vein</topic><topic>Equipment Failure - statistics & numerical data</topic><topic>Female</topic><topic>General aspects</topic><topic>General Surgery</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Right Atrium</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Superior Vena Cava</topic><topic>Surgery</topic><topic>Thoracic Surgery</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wu, Ching-Yang</creatorcontrib><creatorcontrib>Fu, Jui-Ying</creatorcontrib><creatorcontrib>Feng, Po-Hao</creatorcontrib><creatorcontrib>Kao, Tsung-Chi</creatorcontrib><creatorcontrib>Yu, Sheng-Yueh</creatorcontrib><creatorcontrib>Li, Hao-Jui</creatorcontrib><creatorcontrib>Ko, Po-Jen</creatorcontrib><creatorcontrib>Hsieh, Hung-Chang</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Ching-Yang</au><au>Fu, Jui-Ying</au><au>Feng, Po-Hao</au><au>Kao, Tsung-Chi</au><au>Yu, Sheng-Yueh</au><au>Li, Hao-Jui</au><au>Ko, Po-Jen</au><au>Hsieh, Hung-Chang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Catheter Fracture of Intravenous Ports and its Management</atitle><jtitle>World journal of surgery</jtitle><stitle>World J Surg</stitle><addtitle>World J Surg</addtitle><date>2011-11</date><risdate>2011</risdate><volume>35</volume><issue>11</issue><spage>2403</spage><epage>2410</epage><pages>2403-2410</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><coden>WJSUDI</coden><abstract>Background
Intravenous ports are widely used for oncology patients. However, catheter fractures may lead to the need for re-intervention. We aimed to identify the risk factors associated with catheter fractures.
Methods
Between January 1 and December 31, 2006, we retrospectively reviewed the clinical data and plain chest films of 1,505 patients implanted with an intravenous port at Chang Gung Memorial Hospital. Different vascular sites were compared using the chi-square or Fisher’s exact test for categorical variables, and the
t
test was used for continuous variables with normal distribution;
P
<
0.05 was considered statistically significant.
Results
There were 59 and 1,448 procedures in the fracture and non-fracture groups, respectively. Monovariate analysis revealed that the risk factors for catheter fracture were as follows: large angle (
P
< 0.0001), female gender (
P
< 0.0008), subclavian route (
P
< 0.0001), and port type Arrow French (Fr.) 8.1 (
P
< 0.0001). Because these risk factors showed no interaction effects, they were all considered independent risk factors. When all factors were considered together, all risk factors, except angle and age, retained their statistical significance.
Conclusions
Most catheter fractures were caused by material weakness. If catheter fracture is confirmed, further intervention for port and catheter removal is recommended. Female gender, intravenous port implantation via the subclavian route, and the Arrow Fr. 8.1 port were found to be risk factors. Patients with these risk factors should be monitored closely to avoid catheter fractures.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>21882033</pmid><doi>10.1007/s00268-011-1200-x</doi><tpages>8</tpages></addata></record> |
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| subjects | Abdominal Surgery Aged Biological and medical sciences Cardiac Surgery Catheter Catheter Removal Catheterization, Central Venous - instrumentation Catheterization, Central Venous - methods Catheters, Indwelling - adverse effects Cephalic Vein Equipment Failure - statistics & numerical data Female General aspects General Surgery Humans Logistic Models Male Medical sciences Medicine Medicine & Public Health Middle Aged Retrospective Studies Right Atrium Risk Factors Sex Factors Superior Vena Cava Surgery Thoracic Surgery Vascular Surgery |
| title | Catheter Fracture of Intravenous Ports and its Management |
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