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Ports pp 207–214Cite as

Evidenz von Portsystemen

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Zusammenfassung

Generell wird für eine zentralvenöse Katheterisierung der Zugang über die V. subclavia oder über die V. jugularis interna bevorzugt. Beide Zugänge zeigen ein ähnliches Risiko an katheterbezogenen Komplikationen. Bei der Portimplantation bestehen zwischen perkutaner Punktur der V. subclavia und offener chirurgischer Technik hinsichtlich Komplikationen und Operationszeit keine signifikanten Unterschiede, jedoch ist die primäre Erfolgsrate bei der perkutanen Punktion signifikant höher.

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Literatur

  • Ahn SJ, Kim HC, Chung JW et al. (2012) Ultrasound and fluoroscopy-guided placement of central venous ports via internal jugular vein: retrospective analysis of 1254 port implantations at a single center. Korean J Radiol 13: 314–323

    Article  PubMed  PubMed Central  Google Scholar 

  • Aribas BK, Arda K, Aribas O et al (2012) Comparison of subcutaneous central venous port via jugular and subclavian access in 347 patients at a single center. Exp Ther Med 4: 675–680

    PubMed  PubMed Central  Google Scholar 

  • Balsorano P, Galducci G, De Fanti I et al. (2014) Fractures of totally implantable central venous ports: more than fortuity. A three-year single center experience. J Vasc Access 15: 391–395

    Article  PubMed  Google Scholar 

  • Bamba R, Lorenz JM, Lale AJ et al. (2014) Clinical predictors of port infections within the first 30 days of placement. J Vasc Interv Radiol 25: 419–423

    Article  PubMed  Google Scholar 

  • Biffi R, Orsi F, Pozzi S et al. (2009) Best choice of central venous insertion site for the prevention of catheter-related complications in adult patients who need cancer therapy: a randomized trial. Ann Oncol 20: 935–940

    Article  CAS  PubMed  Google Scholar 

  • Biffi R, Pozzi S, Bonomo G et al. (2014) Cost effectiveness of different central venous approaches for port placement and use in adult oncology patients: evidence from a randomized three-arm trial. Ann Surg Oncol 21: 3725–3731

    Article  PubMed  Google Scholar 

  • Busch JD, Herrmann J, Heller F et al. (2012) Follow-up of radiologically totally implanted central venous access ports of the upper arm: long-term complications in 127,750 catheter-days. AJR Am J Roentgenol 199: 447–452

    Article  PubMed  Google Scholar 

  • Chang DH, Boecker J, Hellmich M, Krug KB (2012) Ergebnisse sonografisch gesteuerter Portkatheterimplantationen über die laterale Vena subclavia: eine retrospektive Analyse bei 1532 Patienten. Fortschr Röntgenstr 184: 726–733

    Article  Google Scholar 

  • Di Carlo I, Pulvirenti E, Mannino M, Toro A (2010) Increased use of percutaneous technique for totally implantable venous access devices. Is it real progress? A 27-year comprehensive review on early complications. Ann Surg Oncol 17: 1649–1656

    Article  PubMed  Google Scholar 

  • Fischer L, Knebel P, Schröder S et al. (2008) Reasons for explantation of totally implantable access ports: a multivariate analysis of 385 consecutive patients. Ann Surg Oncol 15: 1124–1129

    Article  PubMed  Google Scholar 

  • Ge X, Cavallazzi R, Li C et al. (2012) Central venous access sites for the prevention of venous thrombosis, stenosis and infection. Cochrane Database Syst Rev CD004084

    Google Scholar 

  • Groeger JS, Lucas AB, Thaler HT et al. (1993) Infectious morbidity associated with long-term use of venous access devices in patients with cancer. Ann Intern Med 119: 1168–1174

    Article  CAS  PubMed  Google Scholar 

  • Jauch KW, Schregel W, Stanga Z et al. (2007) Technik und Probleme der Zugänge in der parenteralen Ernährung. Leitlinie parenterale Ernährung der DGEM. Aktuel Ernaehr Med 32,Supplement 1:S41–S53

    Article  Google Scholar 

  • Kausche S (2012) Evaluation der Erfolgs- und Komplikationsraten radiologischimplantierter Portkathetersysteme sowie der Möglichkeiten der angiographischen Diagnostik und interventionellen Therapie von Portkatheterdysfunktionen. Dissertation, Medizinische Fakultät Charité – Universitätsmedizin Berlin

    Google Scholar 

  • Knebel P, Fischer L, Huesing J et al. (2009) Randomized clinical trial of a modified Seldinger technique for open central venous cannulation for implantable access devices. Br J Surg 96: 159–165

    Article  CAS  PubMed  Google Scholar 

  • Knebel P, Lopez-Benitez R, Fischer L et al. (2011) Insertion of totally implantable venous access devices: an expertise-based, randomized, controlled trial (NCT00600444). Ann Surg 253: 1111–1117

    Article  PubMed  Google Scholar 

  • Kock HJ, Pietsch M, Krause U et al. (1998) Implantable vascular access systems: experience in 1500 patients with totally implanted central venous port systems. World J Surg 22: 12–16

    Article  CAS  PubMed  Google Scholar 

  • Lebeaux D, Fernández-Hidalgo N, Chauhan A et al. (2014) Management of infections related to totally implantable venous-access ports: challenges and perspectives. Lancet Infect Dis 14: 146–159

    Article  CAS  PubMed  Google Scholar 

  • Massmann A, Jagoda P, Kranzhoefer N, Buecker A (2015) Local low-dose thrombolysis for safe and effective treatment of venous port-catheter thrombosis. Ann Surg Oncol 22: 1593–1597

    Article  PubMed  Google Scholar 

  • Nagasawa Y, Shimizu T, Sonoda H et al. (2014) A comparison of outcomes and complications of totally implantable access port through the internal jugular vein versus the subclavian vein. Int Surg 99: 182–188

    Article  PubMed  PubMed Central  Google Scholar 

  • Narducci F, Jean-Laurent M, Boulanger L et al. (2011) Totally implantable venous access port systems and risk factors for complications: a one-year prospective study in a cancer centre. Eur J Surg Oncol 37: 913–918

    Article  CAS  PubMed  Google Scholar 

  • Nelson ET, Gross ME, Mone MC et al. (2013) A survey of American College of Surgery fellows evaluating their use of antibiotic prophylaxis in the placement of subcutaneously implanted central venous access ports. Am J Surg. 206: 1034–1039

    Article  PubMed  Google Scholar 

  • Nocito A, Wildi S, Rufibach K et al. (2009) Randomized clinical trial comparing venous cutdown with the Seldinger technique for placement of implantable venous access ports. Br J Surg 96: 1129–1134

    Article  CAS  PubMed  Google Scholar 

  • O‘Connor A, Hanly AM, Francis E et al. (2013) Catheter associated blood stream infections in patients receiving parenteral nutrition: a prospective study of 850 patients. J Clin Med Res 5: 18–21

    Article  PubMed  PubMed Central  Google Scholar 

  • Okada S, Shiraishi A, Yamashiro Y et al. (2015) A retrospective statistical analysis of the late complications associated with central venous port placements. Jpn J Radiol 33: 21–25

    Article  PubMed  Google Scholar 

  • Orci LA, Meier RP, Morel P et al. (2014) Systematic review and meta-analysis of percutaneous subclavian vein puncture versus surgical venous cutdown for the insertion of a totally implantable venous access device. Br J Surg 101: 8–16

    Article  CAS  PubMed  Google Scholar 

  • Plumhans C, Mahnken AH, Ocklenburg C et al. (2011) Jugular versus subclavian totally implantable access ports: catheter position, complications and intrainterventional pain perception. Eur J Radiol 79: 338–342

    Article  PubMed  Google Scholar 

  • Rupp SM, Apfelbaum JL, Blitt C et al., American Society of Anesthesiologists Task Force on Central Venous Access (2012) Practice guidelines for central venous access: a report by the American Society of Anesthesiologists Task Force on Central Venous Access. Anesthesiology 116: 539–573

    Article  PubMed  Google Scholar 

  • Silberzweig JE, Sacks D, Khorsandi AS, Bakal CW; Society of Interventional Radiology Technology Assessment Committee (2003) Reporting standards for central venous access. J Vasc Interv Radiol 14(9 Pt 2): S443–452

    Article  PubMed  Google Scholar 

  • Stein M, Wagner RH (2005) Komplikationen zentralvenöser Portsysteme: Erfahrungsbericht über 2359 Implantationen. Dtsch Med Wochenschr 130: 1129–1132

    Article  CAS  PubMed  Google Scholar 

  • Teichgräber UK, Pfitzmann R, Hofmann HA (2011a) Portsysteme als integraler Bestandteil von Chemotherapien. Dtsch Arztebl Int 108: 147–154

    PubMed  PubMed Central  Google Scholar 

  • Teichgräber UK, Kausche S, Nagel SN, Gebauer B (2011b) Outcome analysis in 3,160 implantations of radiologically guided placements of totally implantable central venous port systems. Eur Radiol 21: 1224–1232

    Article  PubMed  Google Scholar 

  • Thomopoulos T, Meyer J, Staszewicz W et al. (2014) Routine chest X-ray is not mandatory after fluoroscopy-guided totally implantable venous access device insertion. Ann Vasc Surg 28: 345–350

    Article  PubMed  Google Scholar 

  • Wildgruber M, Borgmeyer S, Haller B et al. (2015) Short-term and long-term outcome of radiological-guided insertion of central venous access port devices implanted at the forearm: a retrospective monocenter analysis in 1704 patients. Eur Radiol 25: 606–616

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Chirurg, Medizinischer Sachverständiger, Wiss. Koordinator DIGG, 84489, In den Grüben 144, Burghausen

    Prof. Dr. med. R.T. Grundmann

Authors
  1. Prof. Dr. med. R.T. Grundmann
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Editor information

Editors and Affiliations

  1. Portzentrum Heidelberg, Chirurgische Universitätsklinik, Heidelberg

    Roland Hennes

  2. Zentrum für ambulante Portoperationen, Berlin

    Herbert A. F. Hofmann

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© 2016 Springer-Verlag Berlin Heidelberg

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Grundmann, R. (2016). Evidenz von Portsystemen. In: Hennes, R., Hofmann, H. (eds) Ports. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-43641-7_21

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  • DOI: https://doi.org/10.1007/978-3-662-43641-7_21

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-43640-0

  • Online ISBN: 978-3-662-43641-7

  • eBook Packages: Medicine (German Language)

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