title: Peripheral infusion ports for central venous access in patients with gynecologic malignancies.
abstract: During treatment for gynecologic malignancies, many patients require frequent or prolonged intravenous access. Implantable permanent venous access devices are useful in assuring adequate access and improving quality of life. A new technique for central venous access by peripheral placement of a subcutaneous infusion port was evaluated in 18 women undergoing treatment for gynecologic malignancies. Patients were followed prospectively with a mean follow-up of 105 days. Six catheters required removal because of complications, including 1 patient with a catheter site infection and 5 patients (26%) with catheter-related thrombosis. Although the rate of immediate insertion-related complications was low, the incidence of deep venous thrombosis was markedly increased over that reported with other central venous access devices.
authors.affiliation: Division of Gynecologic Oncology, Albany Medical College, New York 12208, USA.
authors.forename: M J
authors.initials: MJ
authors.lastname: Cunningham
authors.forename: M B
authors.initials: MB
authors.lastname: Collins
authors.forename: D C
authors.initials: DC
authors.lastname: Kredentser
authors.forename: J H
authors.initials: JH
authors.lastname: Malfetano
mesh_terms: D000970:Antineoplastic Agents / Q000008:administration & dosage / Q000627:therapeutic use; D001132:Arm / Q000098:blood supply; D002405:Catheterization, Central Venous; D002408:Catheters, Indwelling / Q000009:adverse effects; D005260:Female; D005833:Genital Neoplasms, Female / Q000628:therapy*; D006801:Humans; D010289:Parenteral Nutrition, Total; D011446:Prospective Studies; D013924:Thrombophlebitis / Q000209:etiology
chemical_list: D000970:Antineoplastic Agents