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Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 1994 Jan;76(1):33–38.

Comparison between peripherally implanted ports and externally sited catheters for long-term venous access.

A M Pullyblank 1, P D Carey 1, S Z Pearce 1, A G Tanner 1, P J Guillou 1, J R Monson 1
PMCID: PMC2502183  PMID: 8117017

Abstract

In a comparative study, we examined the use of a peripherally implantable venous access system which does not require either central venous cannulation or radiological screening. We compared the complication rate in 85 patients receiving this system with that in 112 similar patients receiving Hickman lines. In addition, we examined the safety and cost implications of using a ward setting instead of full operating facilities for port insertion. There was a 10.7% incidence of early and 37.6% incidence of late complications in the group receiving Hickman lines compared with only 2.4% early complications and 10.6% late complications in those receiving peripherally implantable ports. There was no difference in complication rates between those patients who had the ports inserted in a ward side room compared with those who had their procedure performed in the operating theatre. We have demonstrated the ease and reliability of port insertion in the absence of screening radiology and we therefore suggest the peripheral port as a safe, cost-effective alternative to existing venous access systems.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Begala J. E., Maher K., Cherry J. D. Risk of infection associated with the use of Broviac and Hickman catheters. Am J Infect Control. 1982 Feb;10(1):17–23. doi: 10.1016/0196-6553(82)90035-9. [DOI] [PubMed] [Google Scholar]
  2. Bernard R. W., Stahl W. M. Subclavian vein catheterizations: a prospective study. I. Non-infectious complications. Ann Surg. 1971 Feb;173(2):184–190. doi: 10.1097/00000658-197102000-00002. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Blacklock H. A., Pillai M. V., Hill R. S., Matthews J. R., Clarke A. G., Wade J. F. Use of modified subcutaneous right-atrial catheter for venous access in leukaemic patients. Lancet. 1980 May 10;1(8176):993–994. doi: 10.1016/s0140-6736(80)91436-1. [DOI] [PubMed] [Google Scholar]
  4. Bothe A., Jr, Piccione W., Ambrosino J. J., Benotti P. N., Lokich J. J. Implantable central venous access system. Am J Surg. 1984 Apr;147(4):565–569. doi: 10.1016/0002-9610(84)90023-0. [DOI] [PubMed] [Google Scholar]
  5. Bour E. S., Weaver A. S., Yang H. C., Gifford R. R. Experience with the double lumen Silastic catheter for hemoaccess. Surg Gynecol Obstet. 1990 Jul;171(1):33–39. [PubMed] [Google Scholar]
  6. Brincker H., Saeter G. Fifty-five patient years' experience with a totally implanted system for intravenous chemotherapy. Cancer. 1986 Mar 15;57(6):1124–1129. doi: 10.1002/1097-0142(19860315)57:6<1124::aid-cncr2820570611>3.0.co;2-d. [DOI] [PubMed] [Google Scholar]
  7. Brothers T. E., Von Moll L. K., Niederhuber J. E., Roberts J. A., Walker-Andrews S., Ensminger W. D. Experience with subcutaneous infusion ports in three hundred patients. Surg Gynecol Obstet. 1988 Apr;166(4):295–301. [PubMed] [Google Scholar]
  8. Broviac J. W., Cole J. J., Scribner B. H. A silicone rubber atrial catheter for prolonged parenteral alimentation. Surg Gynecol Obstet. 1973 Apr;136(4):602–606. [PubMed] [Google Scholar]
  9. Carey P. C., Mann D. V., Pearce S. Z., Windsor A. C., Pullyblank A. M., Guillou P. J., Monson J. R. Long-term circulatory access via a peripheral implantable port. Br J Surg. 1993 May;80(5):600–601. doi: 10.1002/bjs.1800800516. [DOI] [PubMed] [Google Scholar]
  10. Dudrick S. J., Wilmore D. W., Vars H. M., Rhoads J. E. Long-term total parenteral nutrition with growth, development, and positive nitrogen balance. Surgery. 1968 Jul;64(1):134–142. [PubMed] [Google Scholar]
  11. Gyves J., Ensminger W., Niederhuber J., Liepman M., Cozzi E., Doan K., Dakhil S., Wheeler R. Totally implanted system for intravenous chemotherapy in patients with cancer. Am J Med. 1982 Dec;73(6):841–845. doi: 10.1016/0002-9343(82)90774-4. [DOI] [PubMed] [Google Scholar]
  12. Hickman R. O., Buckner C. D., Clift R. A., Sanders J. E., Stewart P., Thomas E. D. A modified right atrial catheter for access to the venous system in marrow transplant recipients. Surg Gynecol Obstet. 1979 Jun;148(6):871–875. [PubMed] [Google Scholar]
  13. Kappers-Klunne M. C., Degener J. E., Stijnen T., Abels J. Complications from long-term indwelling central venous catheters in hematologic patients with special reference to infection. Cancer. 1989 Oct 15;64(8):1747–1752. doi: 10.1002/1097-0142(19891015)64:8<1747::aid-cncr2820640832>3.0.co;2-f. [DOI] [PubMed] [Google Scholar]
  14. Niederhuber J. E., Ensminger W., Gyves J. W., Liepman M., Doan K., Cozzi E. Totally implanted venous and arterial access system to replace external catheters in cancer treatment. Surgery. 1982 Oct;92(4):706–712. [PubMed] [Google Scholar]
  15. Pessa M. E., Howard R. J. Complications of Hickman-Broviac catheters. Surg Gynecol Obstet. 1985 Sep;161(3):257–260. [PubMed] [Google Scholar]
  16. Raaf J. H. Results from use of 826 vascular access devices in cancer patients. Cancer. 1985 Mar 15;55(6):1312–1321. doi: 10.1002/1097-0142(19850315)55:6<1312::aid-cncr2820550626>3.0.co;2-9. [DOI] [PubMed] [Google Scholar]
  17. Reed W. P., Newman K. A., Applefeld M. M., Sutton F. J. Drug extravasation as a complication of venous access ports. Ann Intern Med. 1985 Jun;102(6):788–790. doi: 10.7326/0003-4819-102-6-788. [DOI] [PubMed] [Google Scholar]
  18. Reed W. P., Newman K. A., de Jongh C., Wade J. C., Schimpff S. C., Wiernik P. H., McLaughlin J. S. Prolonged venous access for chemotherapy by means of the Hickman catheter. Cancer. 1983 Jul 1;52(1):185–192. doi: 10.1002/1097-0142(19830701)52:1<185::aid-cncr2820520134>3.0.co;2-r. [DOI] [PubMed] [Google Scholar]
  19. Riella M. C., Scribner B. H. Five years' experience with a right atrial catheter for prolonged parenteral nutrition at home. Surg Gynecol Obstet. 1976 Aug;143(2):205–208. [PubMed] [Google Scholar]
  20. Strum S., McDermed J., Korn A., Joseph C. Improved methods for venous access: the Port-A-Cath, a totally implanted catheter system. J Clin Oncol. 1986 Apr;4(4):596–603. doi: 10.1200/JCO.1986.4.4.596. [DOI] [PubMed] [Google Scholar]
  21. Thomas J. H., MacArthur R. I., Pierce G. E., Hermreck A. S. Hickman-Broviac catheters. Indications and results. Am J Surg. 1980 Dec;140(6):791–796. doi: 10.1016/0002-9610(80)90119-1. [DOI] [PubMed] [Google Scholar]
  22. Wagman L. D., Kirkemo A., Johnston M. R. Venous access: a prospective, randomized study of the Hickman catheter. Surgery. 1984 Mar;95(3):303–308. [PubMed] [Google Scholar]

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