Vascular Surgical Procedures
Conditions
Keywords
central venous access port, ultrasound-guided venous puncture, suclavian vein, cephalic vein
Brief summary
The purpose of this study is to compare two different surgical techniques for implementation of totally implantable central venous access ports. Ultrasound-guided suclavian vein puncture is compared to cephalic vein dissection.
Interventions
Central venous access port implementation through ultrasound-guided subclavian vein puncture and Seldinger technique
Central venous access port implementation through cephalic vein dissection and cutdown
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \> 18 * Informed consent * Need for central venous access port implementation under local anesthesia
Exclusion criteria
* Impaired blood clotting * Ongoing antiplatelet drugs therapy, except acetylsalicylic acid * Trauma or surgical past history on both shoulder girdles * Known central venous thrombosis (subclavian vein, upper vena cava) * Known pneumothorax * Septic state * Agranulocytosis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| surgical procedure time | during surgical procedure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| overall implementation success rate | during surgical procedure | — |
| technique conversion rate and causes | during surgical procedure | — |
| pain during surgical procedure | during surgical procedure | — |
| pain at 5 days | 5 days post-procedure | — |
| primary implementation success rate | during surgical procedure | — |
| Complications rate during surgical procedure | during surgical procedure | catheter malposition, hemorrhage, hemotoma, hemothorax, pneumothorax |
| Complications rate at 5 days | 5 days post-procedure | hematoma, infection, symptomatic venous thrombosis, pneumothorax |
| Complications rate at 30 days | 30 days post-procedure | infection, symptomatic venous thrombosis, pneumothorax, venous access port dysfunction |
| Pain at 30 days | 30 days post-procedure | — |
Countries
Switzerland