Does catheter material affect functional performance of intravenous ports via the superior vena cava?

<h4>Introduction</h4> The catheter is the only intravascular portion of an implanted port and plays a crucial role in catheter related complications. Both polyurethane and silicone are biocompatible materials which are utilized for catheter manufacturing, but their correlation to complic...

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Autores principales:	Ching-Feng Wu, Jui-Ying Fu, Tsai-Yang Hsieh, Chi-Tsung Wen, Sheng-Yueh Yu, Ming-Ju Hsieh, Yen Chu, Ching-Yang Wu
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/5d8c32300d6d46c0ab863ab648746659
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spelling	oai:doaj.org-article:5d8c32300d6d46c0ab863ab6487466592021-11-04T06:49:44ZDoes catheter material affect functional performance of intravenous ports via the superior vena cava?1932-6203https://doaj.org/article/5d8c32300d6d46c0ab863ab6487466592021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8550392/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Introduction</h4> The catheter is the only intravascular portion of an implanted port and plays a crucial role in catheter related complications. Both polyurethane and silicone are biocompatible materials which are utilized for catheter manufacturing, but their correlation to complications remains controversial. The aim of this study was to try to analyze the relationship between catheter materials and complications. <h4>Materials and methods</h4> A total of 3144 patients who underwent intravenous port implantation between March 2012 and December 2018 at Chang Gung Memorial Hospital, Linkou, Taiwan were recruited. Of these, 1226 patients received silicone catheter port implantation and 1679 received polyurethane catheter ports. Case matching was done prior to analysis and catheter related complications and cumulative complication incidence for each group were compared. <h4>Results</h4> Intergroup differences were identified in entry vessel (p = 0.0441), operation year (p < 0.0001), operation method (p = 0.0095), functional period (p < 0.0001), patient follow up status (p < 0.0001), operating time for vessel cutdown (p < 0.0001) and wire assisted approach (p = 0.0008). Stratified by specific entry vessel, no statistical difference was found in complication rate or incidence between the silicone and polyurethane groups. We further compared the cumulative complication incidence of the silicone and polyurethane groups, and also found no statistical difference (p = 0.4451). <h4>Conclusion</h4> As long as external stress forces generated by surrounding structures and focused on potential weak points are avoided, both silicone and polyurethane materials provide sufficient structural stability to serve as reliable vascular access for patients.Ching-Feng WuJui-Ying FuTsai-Yang HsiehChi-Tsung WenSheng-Yueh YuMing-Ju HsiehYen ChuChing-Yang WuPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ching-Feng Wu Jui-Ying Fu Tsai-Yang Hsieh Chi-Tsung Wen Sheng-Yueh Yu Ming-Ju Hsieh Yen Chu Ching-Yang Wu Does catheter material affect functional performance of intravenous ports via the superior vena cava?
description	<h4>Introduction</h4> The catheter is the only intravascular portion of an implanted port and plays a crucial role in catheter related complications. Both polyurethane and silicone are biocompatible materials which are utilized for catheter manufacturing, but their correlation to complications remains controversial. The aim of this study was to try to analyze the relationship between catheter materials and complications. <h4>Materials and methods</h4> A total of 3144 patients who underwent intravenous port implantation between March 2012 and December 2018 at Chang Gung Memorial Hospital, Linkou, Taiwan were recruited. Of these, 1226 patients received silicone catheter port implantation and 1679 received polyurethane catheter ports. Case matching was done prior to analysis and catheter related complications and cumulative complication incidence for each group were compared. <h4>Results</h4> Intergroup differences were identified in entry vessel (p = 0.0441), operation year (p < 0.0001), operation method (p = 0.0095), functional period (p < 0.0001), patient follow up status (p < 0.0001), operating time for vessel cutdown (p < 0.0001) and wire assisted approach (p = 0.0008). Stratified by specific entry vessel, no statistical difference was found in complication rate or incidence between the silicone and polyurethane groups. We further compared the cumulative complication incidence of the silicone and polyurethane groups, and also found no statistical difference (p = 0.4451). <h4>Conclusion</h4> As long as external stress forces generated by surrounding structures and focused on potential weak points are avoided, both silicone and polyurethane materials provide sufficient structural stability to serve as reliable vascular access for patients.
format	article
author	Ching-Feng Wu Jui-Ying Fu Tsai-Yang Hsieh Chi-Tsung Wen Sheng-Yueh Yu Ming-Ju Hsieh Yen Chu Ching-Yang Wu
author_facet	Ching-Feng Wu Jui-Ying Fu Tsai-Yang Hsieh Chi-Tsung Wen Sheng-Yueh Yu Ming-Ju Hsieh Yen Chu Ching-Yang Wu
author_sort	Ching-Feng Wu
title	Does catheter material affect functional performance of intravenous ports via the superior vena cava?
title_short	Does catheter material affect functional performance of intravenous ports via the superior vena cava?
title_full	Does catheter material affect functional performance of intravenous ports via the superior vena cava?
title_fullStr	Does catheter material affect functional performance of intravenous ports via the superior vena cava?
title_full_unstemmed	Does catheter material affect functional performance of intravenous ports via the superior vena cava?
title_sort	does catheter material affect functional performance of intravenous ports via the superior vena cava?
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/5d8c32300d6d46c0ab863ab648746659
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Does catheter material affect functional performance of intravenous ports via the superior vena cava?

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