Retrospective Analysis of Totally Implantable Venous Access Ports which was Performed using the Patient’s Height as a Guide, and the Effect of Catheter Tip Position on Complications

Objective: Totally implantable venous access ports (TIVAP) provide safe and com-fortable venous access for chemotherapy. This study evaluates the reliability of Lum's measurement technique for central venous catheter tip positioning and its impact on complications. Methods: Clinical and radiologic data of 297 patients under-going TIVAP implantation were analyzed. The primary endpoint was optimal catheter tip positioning (within 2 cm above to 1 cm below the cavoatrial junction) and its effect on complications. Secondary endpoints included the impact of catheterization site and tip position relative to the carina. Results: =0.024). Conclusion: Positioning the catheter tip below the carina and preferring IJV as the first-choice catheterization site may reduce complications.

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Publication Details

Journal
Türk anesteziyoloji ve reanimasyon derneği dergisi
Published
2026-04-15
DOI
https://doi.org/10.4274/tjar.2026.252308
Primary Topic
Central Venous Catheters and Hemodialysis
Type
article
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article

Retrospective Analysis of Totally Implantable Venous Access Ports which was Performed using the Patient’s Height as a Guide, and the Effect of Catheter Tip Position on Complications

Serdar Demirgan, Sezen Kumaş Solak, Rasim Onur Karaoğlu, Emine Sönmez et al.
Türk anesteziyoloji ve reanimasyon derneği dergisi
Central Venous Catheters and Hemodialysis
article

Retrospective Analysis of Totally Implantable Venous Access Ports which was Performed using the Patient’s Height as a Guide, and the Effect of Catheter Tip Position on Complications

Serdar Demirgan, Sezen Kumaş Solak, Rasim Onur Karaoğlu, Emine Sönmez, Hakkıcan Akpolat, Ayşin Selcan
article en

Abstract

Objective: Totally implantable venous access ports (TIVAP) provide safe and com-fortable venous access for chemotherapy. This study evaluates the reliability of Lum's measurement technique for central venous catheter tip positioning and its impact on complications. Methods: Clinical and radiologic data of 297 patients under-going TIVAP implantation were analyzed. The primary endpoint was optimal catheter tip positioning (within 2 cm above to 1 cm below the cavoatrial junction) and its effect on complications. Secondary endpoints included the impact of catheterization site and tip position relative to the carina. Results: =0.024). Conclusion: Positioning the catheter tip below the carina and preferring IJV as the first-choice catheterization site may reduce complications.

Türk anesteziyoloji ve reanimasyon derneği dergisiVol. 54(2)
Sağlık Bilimleri Üniversitesi (TR), Türk Anesteziyoloji ve Reanimasyon Derneği (TR), Istanbul University (TR), University of Health Sciences Antigua (AG)
Openalex Percentile: Top 20%
Central Venous Catheters and Hemodialysis
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