Comparative study on two different implantable vascular access devices: An analysis of 2897 cases

doi:10.7504/CJPS.ISSN1005-2208.2015.07.16

Abstract：Objective To compare the subclavian venipuncture with internal jugular venipuncture applied in the operation of implantable vascular access devices. Methods The different operative techniques and methods of 2897 adult cases of implantable vascular access devices performed between December 2008 and March 2014 in the Fourth Hospital of Hebei Medical University were analyzed retrospectively. The complications of two surgical techniques were compared. Results In 2897 cases, a total of 2718 (93.82%) cases were performed internal jugular venipuncture including 1222 cases of left internal jugular venipuncture and 1496 cases of right internal jugular venipuncture. There were 179 (6.18%) cases of subclavian vein puncture including 77 cases of left subclavian vein puncture and 102 cases of right subclavian vein puncture. The achievement rate of internal jugular venipuncture(98.68%) was higher than that in the subclavian venipuncture(88.83%) significantly (χ2=80.814, P=0.000). The implant complications occurred in 25 cases (0.86%,25/2897). The incidence of pneumothorax in subclavian venipuncture (4.47%,8/179) was higher than that in the internal jugular venipuncture significantly (0.04%,1/2718) (χ2=106.54,P=0.000). The incidence of pneumothorax between the left and right subclavian venipuncture had no difference(7.79% vs. 1.96%,P=0.077). The incidences of hemothorax between left and right side had no difference (0.08% vs. 0.07%,P=0.697) and there was no death in the group. Conclusion The implantable vascular access device is a latest technology for the cases requiring long-term intravenous infusion. The internal jugular venipuncture is a safe and effective technique with relatively low incidence of complications.