title: 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.
abstract: OBJECTIVE
  The objectives are to analyze the technical success rate as well as the short-term and long-term complications of totally implantable venous access ports (TIVAPs) at the forearm.
  
  
  METHODS
  Retrospective analysis of 1,704 consecutively implanted TIVAPs was performed. Primary endpoints were defined as technical success rate, clinical outcome, device service interval, and rates of major complications. Minor complications not requiring port explantation were defined as secondary endpoints.
  
  
  RESULTS
  The technical success rate was 99.2 % with no major complications. During follow-up, a total of 643,200 catheter-days were documented, the mean device service interval was 380.6 days/patient. A total of 243 complications (14.4 %) in 226 patients were observed (0.4/1000 catheter-days), in 140 patients (8.3 %) the port device had to be explanted. Disconnection between the port device and the catheter (1.6 %) was more frequent than fracture (0.8 %) and leakage (0.6 %) of the catheter, which occurred more frequently when the catheter was inserted via the cephalic versus the brachial vein.
  
  
  CONCLUSIONS
  TIVAP implantation at the forearm is a simple and safe procedure with a low rate of early and late complications.
authors.affiliation: Division of Interventional Radiology, Department of Radiology, Klinikum Rechts der Isar, Technische Universität München, Ismaninger Strasse 22, 81675, München, Germany, moritz.wildgruber@tum.de.
authors.forename: Moritz
authors.initials: M
authors.lastname: Wildgruber
authors.forename: Sebastian
authors.initials: S
authors.lastname: Borgmeyer
authors.forename: Bernhard
authors.initials: B
authors.lastname: Haller
authors.forename: Heike
authors.initials: H
authors.lastname: Jansen
authors.forename: Jochen
authors.initials: J
authors.lastname: Gaa
authors.forename: Marion
authors.initials: M
authors.lastname: Kiechle
authors.forename: Reinhard
authors.initials: R
authors.lastname: Meier
authors.forename: Johannes
authors.initials: J
authors.lastname: Ettl
authors.forename: Hermann
authors.initials: H
authors.lastname: Berger
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000379:methods*; D002408:Catheters, Indwelling / Q000009:adverse effects; D062905:Central Venous Catheters; D002983:Clinical Competence / Q000592:standards; D005260:Female; D005542:Forearm; D006801:Humans; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants; D015641:Radiography, Interventional / Q000379:methods; D012189:Retrospective Studies; D055815:Young Adult