Tailored approach to the choice of long-term vascular access in breast cancer patients.

This study compared the possible options for vascular access in breast cancer patients by analyzing the complications of each method. We retrospectively evaluated the vascular access procedures for intravenous chemotherapy in breast cancer patients from 2016 to 2018. A total of 300 consecutive patie...

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Autores principales:	Hyangkyoung Kim, Sukyung Kwon, Soo Mi Son, Eunseon Jeong, Jang-Yong Kim
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/4b8f4f2f860c4bfeb81306b2152ab8e2
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spelling	oai:doaj.org-article:4b8f4f2f860c4bfeb81306b2152ab8e22021-12-02T20:04:55ZTailored approach to the choice of long-term vascular access in breast cancer patients.1932-620310.1371/journal.pone.0255004https://doaj.org/article/4b8f4f2f860c4bfeb81306b2152ab8e22021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255004https://doaj.org/toc/1932-6203This study compared the possible options for vascular access in breast cancer patients by analyzing the complications of each method. We retrospectively evaluated the vascular access procedures for intravenous chemotherapy in breast cancer patients from 2016 to 2018. A total of 300 consecutive patients were included, 100 each who received peripherally inserted central catheters (PICCs), arm ports, and chest ports. When selecting a catheter, a PICC was considered when four cycles of chemotherapy were expected. Otherwise, patient preference was considered. All but one patient with an arm port were women, with mean age of 51.7 ± 9.1 years. The total mean complication-free catheter indwelling time was 1357.6 days for chest ports, 997.8 days for arm ports, and 366.8 days for PICCs (p = 0.004). There were 11 catheter-related complications (3.7%), one in a chest port patient, five in arm port patients, and eight in PICC patients. There was no patient with catheter related blood stream infection or deep vein thrombosis. All three types of catheters could be used in breast cancer patients without causing serious complications. The selection of catheter considering the clinical situation was effective for providing a safe and secure chemotherapy delivery route.Hyangkyoung KimSukyung KwonSoo Mi SonEunseon JeongJang-Yong KimPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0255004 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Hyangkyoung Kim Sukyung Kwon Soo Mi Son Eunseon Jeong Jang-Yong Kim Tailored approach to the choice of long-term vascular access in breast cancer patients.
description	This study compared the possible options for vascular access in breast cancer patients by analyzing the complications of each method. We retrospectively evaluated the vascular access procedures for intravenous chemotherapy in breast cancer patients from 2016 to 2018. A total of 300 consecutive patients were included, 100 each who received peripherally inserted central catheters (PICCs), arm ports, and chest ports. When selecting a catheter, a PICC was considered when four cycles of chemotherapy were expected. Otherwise, patient preference was considered. All but one patient with an arm port were women, with mean age of 51.7 ± 9.1 years. The total mean complication-free catheter indwelling time was 1357.6 days for chest ports, 997.8 days for arm ports, and 366.8 days for PICCs (p = 0.004). There were 11 catheter-related complications (3.7%), one in a chest port patient, five in arm port patients, and eight in PICC patients. There was no patient with catheter related blood stream infection or deep vein thrombosis. All three types of catheters could be used in breast cancer patients without causing serious complications. The selection of catheter considering the clinical situation was effective for providing a safe and secure chemotherapy delivery route.
format	article
author	Hyangkyoung Kim Sukyung Kwon Soo Mi Son Eunseon Jeong Jang-Yong Kim
author_facet	Hyangkyoung Kim Sukyung Kwon Soo Mi Son Eunseon Jeong Jang-Yong Kim
author_sort	Hyangkyoung Kim
title	Tailored approach to the choice of long-term vascular access in breast cancer patients.
title_short	Tailored approach to the choice of long-term vascular access in breast cancer patients.
title_full	Tailored approach to the choice of long-term vascular access in breast cancer patients.
title_fullStr	Tailored approach to the choice of long-term vascular access in breast cancer patients.
title_full_unstemmed	Tailored approach to the choice of long-term vascular access in breast cancer patients.
title_sort	tailored approach to the choice of long-term vascular access in breast cancer patients.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/4b8f4f2f860c4bfeb81306b2152ab8e2
work_keys_str_mv	AT hyangkyoungkim tailoredapproachtothechoiceoflongtermvascularaccessinbreastcancerpatients AT sukyungkwon tailoredapproachtothechoiceoflongtermvascularaccessinbreastcancerpatients AT soomison tailoredapproachtothechoiceoflongtermvascularaccessinbreastcancerpatients AT eunseonjeong tailoredapproachtothechoiceoflongtermvascularaccessinbreastcancerpatients AT jangyongkim tailoredapproachtothechoiceoflongtermvascularaccessinbreastcancerpatients
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Tailored approach to the choice of long-term vascular access in breast cancer patients.

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