Journal of Medical Sciences

ORIGINAL ARTICLE
Year
: 2014  |  Volume : 34  |  Issue : 4  |  Page : 161--165

Predictive risk factors for fracture at catheter of totally implantable venous access devices via subclavian vein insertion


HM Chang1, YC Chou2, SD Hsu1, GS Liao1, TW Chen1, CB Hsieh1, CJ Chen1, JC Yu1, De-Chuan Chan1 
1 Department of Surgery, Division of General Surgery, Tri-Service General Hospital, National Defense Medical Center, Taiepi, Taiwan, Republic of China
2 School of Public Health, National Defense Medical Center, Taipei, Taiwan, Republic of China

Correspondence Address:
Dr. De-Chuan Chan
Department of Surgery, Division of General Surgery, Tri-Service General Hospital, National Defense Medical Center, No. 325, Sec. 2, Cheng-Kung Road, Taipei 114, Taiwan
Republic of China

Background: Fracture of totally implantable venous access devices (TIVAD) is a rare but potential serious complication. We aimed to explore the risk factors for fracture at catheter of TIVAD via subclavian vein insertion. Materials and Methods: From January 2008 to July 2010 the records of 34 patients with fractured TIVAD were retrospectively reviewed. The comparison group included 170 randomly selected cases (5 for every patient with a fractured catheter) from 3919 cases of TIVAD implantations without catheter fracture. Variables associated with catheter implantation and the relationship between the catheter and the clavicle were analyzed. Results: Statistical analysis revealed implantation method, duration of implantation, brand of device, and port-clavicle distance were predictive risk factors for catheter fracture on univariate analysis. Duration of implantation >200 days and port-clavicle distance <2.5 cm were independent risk factors for catheter fracture on multivariate analysis. Stratified analysis indicated that a port-clavicle distance <2.5 cm in patients with duration of TIVAD implantation >200 days was associated with a significantly increased risk of catheter fracture. Conclusions: We suggested that TIVAD with a port-clavicle distance <2.5 cm could be removed to prevent catheter fracture when the implantation duration is more than 200 days.


How to cite this article:
Chang H M, Chou Y C, Hsu S D, Liao G S, Chen T W, Hsieh C B, Chen C J, Yu J C, Chan DC. Predictive risk factors for fracture at catheter of totally implantable venous access devices via subclavian vein insertion.J Med Sci 2014;34:161-165


How to cite this URL:
Chang H M, Chou Y C, Hsu S D, Liao G S, Chen T W, Hsieh C B, Chen C J, Yu J C, Chan DC. Predictive risk factors for fracture at catheter of totally implantable venous access devices via subclavian vein insertion. J Med Sci [serial online] 2014 [cited 2020 Jul 14 ];34:161-165
Available from: http://www.jmedscindmc.com/article.asp?issn=1011-4564;year=2014;volume=34;issue=4;spage=161;epage=165;aulast=Chang;type=0