Ultrasound-guided Subclavian Vein Puncture Versus Cephalic Vein Dissection for Venous Access Port Implantation
Study Details
Study Description
Brief Summary
The purpose of this study is to compare two different surgical techniques for implementation of totally implantable central venous access ports. Ultrasound-guided suclavian vein puncture is compared to cephalic vein dissection.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: US-guided subclavian vein puncture
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Procedure: Ultrasound-guided subclavian vein puncture
Central venous access port implementation through ultrasound-guided subclavian vein puncture and Seldinger technique
Other Names:
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Active Comparator: Cephalic vein dissection
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Procedure: Cephalic vein dissection
Central venous access port implementation through cephalic vein dissection and cutdown
Other Names:
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Outcome Measures
Primary Outcome Measures
- surgical procedure time [during surgical procedure]
Secondary Outcome Measures
- primary implementation success rate [during surgical procedure]
- overall implementation success rate [during surgical procedure]
- technique conversion rate and causes [during surgical procedure]
- pain during surgical procedure [during surgical procedure]
- pain at 5 days [5 days post-procedure]
- Pain at 30 days [30 days post-procedure]
- Complications rate during surgical procedure [during surgical procedure]
catheter malposition, hemorrhage, hemotoma, hemothorax, pneumothorax
- Complications rate at 5 days [5 days post-procedure]
hematoma, infection, symptomatic venous thrombosis, pneumothorax
- Complications rate at 30 days [30 days post-procedure]
infection, symptomatic venous thrombosis, pneumothorax, venous access port dysfunction
Eligibility Criteria
Criteria
Inclusion Criteria:
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Age > 18
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Informed consent
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Need for central venous access port implementation under local anesthesia
Exclusion Criteria:
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Impaired blood clotting
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Ongoing antiplatelet drugs therapy, except acetylsalicylic acid
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Trauma or surgical past history on both shoulder girdles
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Known central venous thrombosis (subclavian vein, upper vena cava)
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Known pneumothorax
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Septic state
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Agranulocytosis
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | University Hospital Lausanne, Department of Visceral Surgery | Lausanne | Vaud | Switzerland | 1011 |
Sponsors and Collaborators
- University of Lausanne Hospitals
Investigators
- Study Chair: Nicolas Demartines, University Hospital Lausanne, Department of Visceral Surgery
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CHV 46/11