Comparative Analysis of Application of Subclavian Catheters and Implantable Venous Ports in Treatment of Oncologic Diseases in Children
Abstract
Comparative analysis of applying subclavian catheters (SC) and implantable venous ports (IVP) in children with oncologic diseases is conducted. The study testifies to higher prevalence of IVP as compared with SC. We detected that there are less complications and technical difficulties during installation IVP than SC, so they are subject to correction during operations more frequently. The application of subclavian catheters is accompanied by a higher rate of complications and breakdown of protocols of antitumor treatment as compared with IVP.
About the Authors
M. Yu. Rykov
FSBSI "N.N. Blokhin RCRC"
Russian Federation
Russian Federation
Maxim Yurievich Rykov, PhD, researcher at the Department of tumors of the musculoskeletal system
115478, Moscow, Kashirskoe sh., 24, tel .: + 7- 916-187-52-61
A. Z. Dzampaev
FSBSI "N.N. Blokhin RCRC"
Russian Federation
Russian Federation
Aslan Zelimhanovich Zampaev, PhD, Head of the Department of tumors of the musculoskeletal system
115478, Moscow, Kashirskoe sh. 24
V. G. Polyakov
FSBSI " N.N. Blokhin RCRC" ; GBOU DPO RMAPO Health Ministry
Russian Federation
Russian Federation
Vladimir Georgievich Polyakov, Academician, MD, Professor, Deputy Director of the Institute of Pediatric Oncology and Hematology, head of the department head and neck tumors Institute of Pediatric Oncology and Hematology, head of the Department of Pediatric Oncology, chief pediatric oncologist Health Ministry
115478, Moscow, Kashirskoe sh. 24
References
1. Antonov O. S. Subclavian vein catheterization using supraclavicular and subclavicular access. Complications associated with vein puncture and catheter use) / O. S. Antonov, N.I. Nikolaev, Y.A. Kazantsev //Anesthesiology and intensive care medicine. – 1984. – №4. – P. 64 – 67.
2. Beloborodov V.B. The role of current recommendations for prevention of catheter-related infection / V.B. Beloborodov // Infection and antimicrobial therapy. – 2002. – Vol.6. – P.177 – 180.
3. Berezhanskiy B.V. Optimization of pharmacotherapy and central venous catheter-related infection prevention in departments of reanimation and intensive care): abstr. diss. kand. med. sci.:14.00.25, 14.00.37 / B.V. Berezhanski. – Smolensk, 2008. – P. 22.
4. Bykov M. V. Ultrasonography in infusion therapy in departments of reanimation and intensive care) / M. V. Bykov.– Tver: ‘Press centre “Triada’, 2011. – P. 36.
5. Pediatric oncology. National guidelines / Ed. M.D. Aliyev, V.G. Polyakov, G.L. Mentkevich, S.A. Mayakova. – М.: Practical medicine, 2012. – P.684.
6. Implantable infusion systems for long-term venous access in oncology) / Y.V. Buydenok, А.А. Mesheryakov, V.V. Breder [et al.] // Mosc. oncol. assoc. bulletin. – 2010. – P. 11 – 13.
7. Subclavian vein catheterization: ultrasound guidance allows less experienced doctors to achieve better results) / I. Galtiery, I. Deppe, M. Siperli, D. Tomson // Intens. ther. Bulletin. – 2006. – №4. – P. 24-30.
8. Kozlov V.I. Cardiovascular system anatomy / V.I. Kozlov. – M.: Practical medicine, 2011. – P.192.
9. Characteristics of Child Topographic Anatomy / A.V. Chernikh, V.G. Vitchinkin, V.A. Kotukh [et al.] – Voronezh: VSMA named after N.N. Burdenko, 2001. – P. 39.
10. Pat. 2409979 USA, NKI 128/221. Hypodermic needle / Ralf R. Huber. – №654373; Applied 14.03.1946; Published 22.10.1946
11. Пат. 4861341 США, МКИ4 А61М 5/00. Subcutaneous venous access device and needle system / Robert T. Woodburn. – №220609; Заявлено 18.07.1988; Опубликовано 29.08.1989 – 9 с.
12. Pat. 4861341 USA, MKI4 А61М 5/00. Subcutaneous venous access device and needle system / Robert T. Woodburn. – №220609; Applied 18.07.1988; Published 29.08.1989 – P. 9.
13. Anatomic basis of safe percutaneous subclavian venous catheterization / B.K. Tan, S.W. Hong, M.H. Huang [et al.] // J. trauma. – 2000. – Vol. 48, №1. – P. 82 – 86
14. Bailey E. Antimicrobial lock therapy for catheter-related bacteraemia among patients on maintance haemodialysis / E. Bailey, N. Berry, J. Cheesbrough // Antimicrob. Chemother. – 2002. – Vol. 50. – P. 617.
15. Crinch C. The promise of novel technology for the prevention of intravascular device-related bloodstream infection / C. Crunch, D. Maki // Clin. Infect. Dis. – 2002. – Vol. 34. – P. 1232 – 1242
16. De Gaudio A. Device-related infections in critically ill patients. Part 1% prevention of catheter-related bloodstream infections / A. De Gaudo, A. Di Filippo // J. Chemother. – 2003. – Vol. 15. – P. 419 – 427
17. Humar A. Prospective randomized trial of 10% povidone-iodine versus 0,5% tincture of chlorhexidine as cutaneous antisepsis for prevention of central venous catheter infection / A. Humar, A. Ostromecki, J. Dirnfeld // Clin. Infect. Dis. – 2000. – Vol. 31. – P. 1001 – 1007.
18. Koldehoff M. Taurolidine is effective in the treatment of central venous catheter-related bloodstream infections in cancer patient / M. Kolderhoff, J. Zakrzewski // Int. J. Antimicrob. Agent. – 2004. – Vol.24. – P. 47 – 48.
19. Mermel L. Prevention of intravascular catheter-related infections / L. Mermel // Ann. Intern. Med. – 2002. – Vol. 132. – P. 391 – 402.
20. Mickley V. Central venous catheters: many questions, few answers / V. Mickley // Nephrol. Dial. Transplant. – 2002. – Vol. 17. – P. 1368 – 1373.
21. Randomized, controlled clinical trial of point-of-care limited ultrasonography assistance of central venous cannulation / T.J. Milling, J. Rose, W.M. Briggs [et al.]// Critical Care Medicine. – 2005. – Vol. 33. – P. 1764.
22. Walder B. Prevention of bloodstream infections with central venous catheters treated with anti-infective agents depends on catheter type and insertion time: evidence from a metaanalysis / B. Walder, D. Pttet // Infect. Control Hosp. Epidemiol. – 2002. – Vol. 23. – P. 748 – 756.
23. Wilson S.E. Vascular access. Principles and practice / S.E. Wilson. – 5th ed. – USA, Philadelphia: Lippincott Williams and Wilkins, 2010. –P. 317.
Review
For citations:
Rykov M.Yu., Dzampaev A.Z., Polyakov V.G. Comparative Analysis of Application of Subclavian Catheters and Implantable Venous Ports in Treatment of Oncologic Diseases in Children. Yakut Medical Journal. 2015;(1):71-73.
Views:
6
Email this article 