Rane i kasne komplikacije ugradnje trajnog intravenskog katetera

master's thesis

• Title (english): Early and late complications of permanent venous catheter insertion
• Author: Bruno Lovreković
• Mentor: Tomislav Letilović (mentor)
• Committee member: Slobodanka Ostojić-Kolonić (predsjednik povjerenstva)
• Committee member: Jasenka Markeljević (član povjerenstva)
• Committee member: Tomislav Letilović (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Internal Medicine); Zagreb
• Defense date and country: 2019-07-12, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Internal Medicine

Abstract

UVOD: Trajni intravenski port kateteri su centralni venski uređaji korišteni za dugotrajno intravensko liječenje onkoloških bolesnika. Usprkos brojnim prednostima, njihova uporaba može biti povezana s brojnim komplikacijama. Svrha ove studije je odrediti koje su moguće rane i kasne komplikacije ugradnje ovih uređaja.
----- METODE: Ova retrospektivna studija provedena je na 94 onkološka pacijenta kojima su intravenski port kateteri ugrađeni u periodu između studenog 2013. i svibnja 2018. Procedura je obavljena pod lokalnom anestezijom te fluoroskopijom putem desne vene subklavije. Rane komplikacije su bile one koje su se dogodile unutar 30 dana, a kasne sve preko 30. dana od ugradnje.
----- REZULTATI: Komplikacije su opažene kod 26 (26.8%) pacijenata. Bilo je 8 (8.2%) ranih i 18 (18.5%) kasnih komplikacija. Pneumotoraks je opažen kod 2 (2.1%) pacijenta, rane infekcije su se pojavile kod 5 (5.1%) pacijenata. Jedan (1.03%) pacijent imao je poremećaj cijeljenja rane te je bilo potrebito ukloniti kateter. Najčešće kasne komplikacije su bile infekcije te su opažene kod 17 (17.5%) pacijenata. Jedna (1.03%) je bila infekcija džepa, a 16 (16.5%) infekcija krvotoka. Dogodila se samo jedna (1.03%) kasna venska tromboza povezana s uporabom katetera.
----- ZAKLJUČAK: Ugradnja i uporaba trajnih intravenskih port katetera je vrlo vrijedna metoda u tretiranju onkoloških pacijenata no postoji potreba za reduciranjem komplikacija povezanih s njihovom uporabom pomoću bolje edukacije i prakse ugradnje.

Abstract (english)

INTRODUCTION: Totally implantable venous access ports(TIVAPs) are central venous devices for the long term intravenous treatment of oncology patients. Despite many benefits, their usage can be associated with severe complications. The purpose of this study is to determine early and late complications of TIVAPs insertion.
----- METHODS: We performed a retrospective study on 94 patients that had their catheters inserted in period between November 2013 and May 2018. The procedure was performed under fluoroscopy via right subclavian vein in a local anesthesia.. Early complications occured in the first 30 days and late beyond 30 days of insertion.
----- RESULTS: Complications occured in 26 (26.8%) patients with 8 (8.2%) early and 18 (18.5%) late complications. Two patients had pneumothorax (2,1%) and 5 (5,1%) had early infections. One patient (1,03%) had wound healing problem and catheter was removed. Infections as most common late complications were found in 17 patients (17,5%). There was one (1,03%) port pocket infection and 16 (16,5%) bloodstream infections. We had only one (1,03%) late catheter related venous thrombosis.
----- CONCLUSION: The implantation and usage of TIVAPs is a valuable method in the treatment of oncology patients but there is a need to reduce the catheter related complications through better education and insertion practice.

• Keywords: trajni intravenski kateteri; komplikacije ugradnje; onkološki bolesnici
• Keywords (english): totally implantable venous access port; complications of insertion; oncology patients
• Language: croatian
• URN:NBN: urn:nbn:hr:105:780060
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2020-02-10 17:25:42