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Complication Rates Observed in Silicone and Polyurethane Catheters of Totally Implanted Central Venous Access Devices Implanted in the Upper Arm

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Complication Rates Observed in Silicone and Polyurethane Catheters of Totally Implanted Central Venous Access Devices Implanted in the Upper Arm. / Busch, Jasmin D; Vens, Maren; Mahler, Catherine; Herrmann, Jochen; Adam, Gerhard; Ittrich, Harald.

In: J VASC INTERV RADIOL, Vol. 28, No. 8, 08.2017, p. 1177-1183.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Busch, JD, Vens, M, Mahler, C, Herrmann, J, Adam, G & Ittrich, H 2017, 'Complication Rates Observed in Silicone and Polyurethane Catheters of Totally Implanted Central Venous Access Devices Implanted in the Upper Arm', J VASC INTERV RADIOL, vol. 28, no. 8, pp. 1177-1183. https://doi.org/10.1016/j.jvir.2017.04.024

APA

Busch, J. D., Vens, M., Mahler, C., Herrmann, J., Adam, G., & Ittrich, H. (2017). Complication Rates Observed in Silicone and Polyurethane Catheters of Totally Implanted Central Venous Access Devices Implanted in the Upper Arm. J VASC INTERV RADIOL, 28(8), 1177-1183. https://doi.org/10.1016/j.jvir.2017.04.024

Vancouver

Busch JD, Vens M, Mahler C, Herrmann J, Adam G, Ittrich H. Complication Rates Observed in Silicone and Polyurethane Catheters of Totally Implanted Central Venous Access Devices Implanted in the Upper Arm. J VASC INTERV RADIOL. 2017 Aug;28(8):1177-1183. https://doi.org/10.1016/j.jvir.2017.04.024

Bibtex

@article{f9bcd4d552544620ae713bc0a093b752,
title = "Complication Rates Observed in Silicone and Polyurethane Catheters of Totally Implanted Central Venous Access Devices Implanted in the Upper Arm",
abstract = "PURPOSE: To present frequency and types of complications related to silicone (SI) versus polyurethane (PUR) catheters of totally implanted venous access devices (TIVADs) placed in the upper arm.MATERIAL AND METHODS: A cohort of 2,491 consecutive patients with TIVADs implanted between 2006 and 2015 was retrospectively analyzed. Complications were classified according to SIR guidelines. Pearson χ2 test was used for categorical variables, and Student t test was used for continuous variables. Nominal P values were reported, and 2-sided P values < .05 were considered significant.RESULTS: Of 2,270 patients meeting the inclusion criteria, 538 had an SI catheter, and 1,732 had a PUR catheter. Total dwell time was 584,853 catheter days. Mean total complication rate was 12.25% (SI, 14.87%; PUR, 11.43%; P = .040). Subanalysis revealed significant differences for material failures (eg, catheter fracture [SI, 3.35%; PUR, 0.06%; P < .001] and thrombotic catheter occlusion/venous thromboses [SI, 2.79%/0.74%; PUR, 1.33%/3.17%; P < .001]) but nonsignificant differences for infections (eg, local infection and catheter-related sepsis [SI, 4.64%; PUR, 4.68%; P = 1]) or other nonthrombotic dysfunctions (eg, catheter detachment, line migration, wound dehiscence [SI, 3.35%; PUR, 2.19%; P = .179]).CONCLUSIONS: The reported data suggest different risk profiles in SI catheters compared with PUR catheters, with more material failures and thrombotic catheter occlusions in SI catheters and more venous thromboses in PUR catheters.",
keywords = "Adolescent, Adult, Aged, Aged, 80 and over, Arm, Catheterization, Central Venous, Catheters, Indwelling, Equipment Failure, Female, Fluoroscopy, Humans, Male, Middle Aged, Polyurethanes, Radiography, Interventional, Retrospective Studies, Silicones, Journal Article",
author = "Busch, {Jasmin D} and Maren Vens and Catherine Mahler and Jochen Herrmann and Gerhard Adam and Harald Ittrich",
note = "Copyright {\textcopyright} 2017 SIR. Published by Elsevier Inc. All rights reserved.",
year = "2017",
month = aug,
doi = "10.1016/j.jvir.2017.04.024",
language = "English",
volume = "28",
pages = "1177--1183",
journal = "J VASC INTERV RADIOL",
issn = "1051-0443",
publisher = "Elsevier Inc.",
number = "8",

}

RIS

TY - JOUR

T1 - Complication Rates Observed in Silicone and Polyurethane Catheters of Totally Implanted Central Venous Access Devices Implanted in the Upper Arm

AU - Busch, Jasmin D

AU - Vens, Maren

AU - Mahler, Catherine

AU - Herrmann, Jochen

AU - Adam, Gerhard

AU - Ittrich, Harald

N1 - Copyright © 2017 SIR. Published by Elsevier Inc. All rights reserved.

PY - 2017/8

Y1 - 2017/8

N2 - PURPOSE: To present frequency and types of complications related to silicone (SI) versus polyurethane (PUR) catheters of totally implanted venous access devices (TIVADs) placed in the upper arm.MATERIAL AND METHODS: A cohort of 2,491 consecutive patients with TIVADs implanted between 2006 and 2015 was retrospectively analyzed. Complications were classified according to SIR guidelines. Pearson χ2 test was used for categorical variables, and Student t test was used for continuous variables. Nominal P values were reported, and 2-sided P values < .05 were considered significant.RESULTS: Of 2,270 patients meeting the inclusion criteria, 538 had an SI catheter, and 1,732 had a PUR catheter. Total dwell time was 584,853 catheter days. Mean total complication rate was 12.25% (SI, 14.87%; PUR, 11.43%; P = .040). Subanalysis revealed significant differences for material failures (eg, catheter fracture [SI, 3.35%; PUR, 0.06%; P < .001] and thrombotic catheter occlusion/venous thromboses [SI, 2.79%/0.74%; PUR, 1.33%/3.17%; P < .001]) but nonsignificant differences for infections (eg, local infection and catheter-related sepsis [SI, 4.64%; PUR, 4.68%; P = 1]) or other nonthrombotic dysfunctions (eg, catheter detachment, line migration, wound dehiscence [SI, 3.35%; PUR, 2.19%; P = .179]).CONCLUSIONS: The reported data suggest different risk profiles in SI catheters compared with PUR catheters, with more material failures and thrombotic catheter occlusions in SI catheters and more venous thromboses in PUR catheters.

AB - PURPOSE: To present frequency and types of complications related to silicone (SI) versus polyurethane (PUR) catheters of totally implanted venous access devices (TIVADs) placed in the upper arm.MATERIAL AND METHODS: A cohort of 2,491 consecutive patients with TIVADs implanted between 2006 and 2015 was retrospectively analyzed. Complications were classified according to SIR guidelines. Pearson χ2 test was used for categorical variables, and Student t test was used for continuous variables. Nominal P values were reported, and 2-sided P values < .05 were considered significant.RESULTS: Of 2,270 patients meeting the inclusion criteria, 538 had an SI catheter, and 1,732 had a PUR catheter. Total dwell time was 584,853 catheter days. Mean total complication rate was 12.25% (SI, 14.87%; PUR, 11.43%; P = .040). Subanalysis revealed significant differences for material failures (eg, catheter fracture [SI, 3.35%; PUR, 0.06%; P < .001] and thrombotic catheter occlusion/venous thromboses [SI, 2.79%/0.74%; PUR, 1.33%/3.17%; P < .001]) but nonsignificant differences for infections (eg, local infection and catheter-related sepsis [SI, 4.64%; PUR, 4.68%; P = 1]) or other nonthrombotic dysfunctions (eg, catheter detachment, line migration, wound dehiscence [SI, 3.35%; PUR, 2.19%; P = .179]).CONCLUSIONS: The reported data suggest different risk profiles in SI catheters compared with PUR catheters, with more material failures and thrombotic catheter occlusions in SI catheters and more venous thromboses in PUR catheters.

KW - Adolescent

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Arm

KW - Catheterization, Central Venous

KW - Catheters, Indwelling

KW - Equipment Failure

KW - Female

KW - Fluoroscopy

KW - Humans

KW - Male

KW - Middle Aged

KW - Polyurethanes

KW - Radiography, Interventional

KW - Retrospective Studies

KW - Silicones

KW - Journal Article

U2 - 10.1016/j.jvir.2017.04.024

DO - 10.1016/j.jvir.2017.04.024

M3 - SCORING: Journal article

C2 - 28549710

VL - 28

SP - 1177

EP - 1183

JO - J VASC INTERV RADIOL

JF - J VASC INTERV RADIOL

SN - 1051-0443

IS - 8

ER -