• Yoshinobu Nagasawa, Tomoharu Shimizu, Hiromichi Sonoda, Eiji Mekata, Masato Wakabayashi, Hiroyuki Ohta, Satoshi Murata, Tsuyoshi Mori, Shigeyuki Naka, and Tohru Tani.
• Department of Surgery, Shiga University of Medical Science, Shiga, Japan.
• Int Surg. 2014 Mar 1; 99 (2): 182-8.

AbstractTotally implantable access ports (TIAPs) are generally used in oncology. Few studies have addressed complications associated with the insertion site. A total of 233 consecutive oncology patients were enrolled to receive TIAP inserts via internal jugular vein (IJV) or subclavian vein (SV). Data on clinicopathologic parameters and early/late complications were retrospectively collected. No differences were found early and late complication rates. Catheter injury was observed more frequently in the IJV group (2.9%) than in the SV group (1.0%) without statistical significance. Multivariate logistic regression analysis showed that age, switch to palliative use of TIAP, and the distribution of diseases (low risk in patients with colorectal cancer) were independent risk factors for determining complications. In conclusion, TIAP insertion site showed no impact on the early and late complication rates. Catheter injury appears to occur at the same frequency with both approaches. Therefore, medical doctors may choose their preferred puncture site when performing TIAP insertion.

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