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Titolo:
CERVICOFACIAL CANCER - A PROSPECTIVE-STUD Y OF COMPLICATIONS RELATED TO IMPLANTABLE VENOUS ACCESS SYSTEMS
Autore:
PAOLI C; BASSOT V; ELBEZ M; CORBIN M; BOISSADY MF; TROTOUX J; BONFILS P;
Indirizzi:
FAC NECKER ENFANTS MALAD,HOP BOUCICAUT,SERV ORL & CHIRURG CERVICO FACIALE,78 RUE CONVENT F-75015 PARIS FRANCE HOP BOUCICAULT,SERV HOSP DOMICILE PARIS FRANCE SANTE SERV BAGNEUX FRANCE
Titolo Testata:
La Presse medicale
fascicolo: 14, volume: 23, anno: 1994,
pagine: 649 - 652
SICI:
0755-4982(1994)23:14<649:CC-APY>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
FRE
Soggetto:
ATRIAL CATHETER; CHEMOTHERAPY; EXPERIENCE;
Keywords:
IMPLANTABLE VENOUS ACCESS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
15
Recensione:
Indirizzi per estratti:
Citazione:
C. Paoli et al., "CERVICOFACIAL CANCER - A PROSPECTIVE-STUD Y OF COMPLICATIONS RELATED TO IMPLANTABLE VENOUS ACCESS SYSTEMS", La Presse medicale, 23(14), 1994, pp. 649-652

Abstract

Objectives: Implantable systems for venous access are widely used in cervicofacial cancer. We prospectively evaluated complications relatedto this type of venous access in our cancer patients. Methods: From September 1991 to September 1993, an implantable system for venous access was installed in 164 patients with epidermoid carcinoma of the upper respiratory and digestive tracts. The systems were implanted in the subclavian vein by 20 different operators (mean number of implants peroperator = 8.2). All catheters mere tunnelized. Chemotherapy was a combination of 5 fluorouracil and cisplatinium. Results: Immediate complications included impossible implantation (n = 12,7.3%), pneumothorax (n = 5), false passage (n = 4), haematoma (n = 3), arterial puncture (n = 2) and abcess of the thoracic wall (n = 1). During use, complications included extravasation (n = 4), catheter thrombosis (n = 2), venous thrombosis (n = 2) and infection at the site of implantation, desinsertion of the catheter from the chamber, haematoma at the site of implantation and septicaemia (n = 1 each). The rate of complications was related to implantation (17% of the implantations) or to use (8%). Conclusions: The rate of complications due to implantable venous access systems is relatively low, suggesting that these systems are acceptable for ambulatory chemotherapy.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/12/20 alle ore 10:53:51