完全埋込型静脈アクセスシステムの使用経験 : 挿入手技を中心として

概要

論文の詳細を見る
Recently available totally implantable venous access system (TIVAS) facilitates administration of hyperalimentation, chemotherapy and blood products and taking blood samples. Furthermore TIVAS enables patients to care at home and to bathe. We have used TIVAS in 33 children with cancer (Port-A-Cath in 15, Infuse-A-Port 18) between August 1988 and March 1990. The mean age of the patients was 4 years 10 months (range, 3 months to 14 years 10 months), and the mean functioning time was 207 days (range, 13 days to 572 days). Major complications were regarded as infection (4 patients, 12.1%) and occlusion (7 patients, 21.2%). Catheters were removed in 2 patients due to infection. Six out of 7 patients with occlusion were treated by changing the site of the catheter tip, but in almost all cases the catheters were imcompletely occluded. TIVAS is a useful armamenterium in the management of infants and children with cancer.
日本小児外科学会の論文
1991-08-20