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Malakhova A.A.

Loginov Moscow Clinical Scientific Center

Izmailov I.N.

Loginov Moscow Clinical Scientific Center

Klimov A.A.

Loginov Moscow Clinical Scientific Center

Nekrasov O.I.

Loginov Moscow Clinical Scientific Center

Trofimov S.O.

Loginov Moscow Clinical Scientific Center

Chekmarev D.V.

Loginov Moscow Clinical Scientific Center

Subbotin V.V.

Loginov Moscow Clinical Scientific Center

Technical problems and complications following venous port system implantation: a pilot randomized study

Authors:

Malakhova A.A., Izmailov I.N., Klimov A.A., Nekrasov O.I., Trofimov S.O., Chekmarev D.V., Subbotin V.V.

More about the authors

Journal: Russian Journal of Anesthesiology and Reanimatology. 2025;(5): 81‑87

DOI: 10.17116/anaesthesiology202505181

Read: 535 times

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Table of contents

TECHNICAL PROBLEMS AND COMPLICATIONS FOLLOWING VENOUS PORT SYSTEM IMPLANTATION: A PILOT RANDOMIZED STUDY
TECHNICAL PROBLEMS AND COMPLICATIONS FOLLOWING VENOUS PORT SYSTEM IMPLANTATION: A PILOT RANDOMIZED STUDY

To cite this article:

Malakhova AA, Izmailov IN, Klimov AA, Nekrasov OI, Trofimov SO, Chekmarev DV, Subbotin VV. Technical problems and complications following venous port system implantation: a pilot randomized study. Russian Journal of Anesthesiology and Reanimatology. 2025;(5):81‑87. (In Russ.)
https://doi.org/10.17116/anaesthesiology202505181

МСФ на ЯМ
Использование инфографики авторами научных работ
Abstract:

OBJECTIVE

To study the incidence of intraoperative adverse events and complications associated with different vascular access points for venous port system implantation.

MATERIAL AND METHODS

We included 158 patients divided into three groups depending on access site for port system placement (v. basilica, v. axillaris and v. jugularis interna). We assessed intraoperative adverse events, early complications within 30 days after implantation and delayed events (after 30 days).

RESULTS. G

Uide wire migration was significantly more common in the v. basilica and v. axillaris groups compared to the v. jugularis interna group (12, 15, and 4 instances, respectively; p=0.015). Vascular access challenges were more frequent in the v. axillaris group (p=0.021). The incidence of periprocedural arrhythmias was similar in all groups (p=0.994). There were 19 late complications, including port site infections, skin erosion at the implantation site, catheter thrombosis, pericatheter vascular thrombosis, catheter kinking with loops and extravasation. There was no significant between-group difference (p=0.935).

CONCLUSION

Guide wire migration and difficulties in its positioning were more common in the v. basilica and v. axillaris groups. Catheterization of the v. axillaris often presents technical challenges due to deeper location. However, there is no impact on the overall complication rate. None implantation method showed superiority regarding early or late complications.

Keywords:

vascular access
venous port
catheterization
catheter

Authors:

Malakhova A.A.

Loginov Moscow Clinical Scientific Center

Izmailov I.N.

Loginov Moscow Clinical Scientific Center

Klimov A.A.

Loginov Moscow Clinical Scientific Center

Nekrasov O.I.

Loginov Moscow Clinical Scientific Center

Trofimov S.O.

Loginov Moscow Clinical Scientific Center

Chekmarev D.V.

Loginov Moscow Clinical Scientific Center

Subbotin V.V.

Loginov Moscow Clinical Scientific Center

Received:

24.01.2025

Accepted:

26.03.2025

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