Implantable central venous access system
The American Journal of SurgeryPublished 1 April 1984
Albert Bothe, William Piccione, John J. Ambrosino, Peter N. Benotti, Jacob J. Lokich
Citations133
SJR quartileQ1
SJR score0.95
SNIP1.17
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TL;DR
Prolonged central venous access for outpatient chemotherapy was achieved in 74 patients utilizing a totally implantable access disc system using a stainless steel drug reservoir implanted in the subcutaneous tissue of the anterior chest wall.
Abstract
Prolonged central venous access for outpatient chemotherapy was achieved in 74 patients utilizing a totally implantable access disc system. The system consists of a stainless steel drug reservoir implanted in the subcutaneous tissue of the anterior chest wall. The reservoir is attached to a Silastic catheter which is then tunneled to a central vein and positioned in the superior vena cava. In 6,762 patient days of observation, there was a high degree of patient acceptance and a low incidence of complications. There were four instances of thrombosis and two of catheter-related sepsis among 17 complications. Seven access discs required removal. The implantable nature of this system offers an attractive alternative to other available methods of prolonged central venous access.
Keywords
MedicineHealth Professions
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