title: [Long-term outcomes and complications of upper arm central venous access ports].
abstract: BACKGROUND
  Central venous access port(CV port)is used for long-term treatment of patients with advanced colorectal cancer. To confirm a standard procedure of CV port implant, we analyzed long-term outcomes and complications of upper arm CV ports.
  
  
  METHODS
  Ninety patients implanted with CV ports in the upper arm between November 2006 and November 2009 were studied retrospectively.
  
  
  RESULTS
  There were no complications from the implanting procedure. Twenty patients (22. 2%)had complications, including infection(n=10), occlusion(n=7), thrombosis(n=4)and persistent pain(n=1) (there is some overlapping). Eighteen patients(20%)received surgery for removal of the ports. The median follow-up period was 160 days(range, 30-1,167days). Univariate and multivariate analysis indicated that patients with a catheter tip above the tracheal bifurcation had a significantly higher risk for complications than patients with a tip below bifurcation.
  
  
  CONCLUSIONS
  Upper arm CV ports were implanted safely. For long-term use, it is important to place the catheter tip below the tracheal bifurcation.
authors.affiliation: Dept. of Surgery, Suita Municipal Hospital, Japan.
authors.forename: Yoshihito
authors.initials: Y
authors.lastname: Ide
authors.forename: Koji
authors.initials: K
authors.lastname: Mikami
authors.forename: Kohei
authors.initials: K
authors.lastname: Murata
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001132:Arm; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002408:Catheters, Indwelling / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000188:drug therapy / Q000601:surgery; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D014680:Veins