Mustafa KUZUCUOĞLU, İlkay YAVAŞMAN, Cenk BALTA

ULTRASONOGRAFİ EŞLİĞİNDE YAPILAN TOTAL İNTRAVENÖZ PORT KATATER İŞLEMLERİNİN DEĞERLENDİRİLMESİ

Amaç: Çalışmamızda ultrasonografi eşliğinde uygulanan total intravenöz port katater işlemlerimizi değerlendirmeyi amaçladık. Metod: Ocak 2014 ve Ocak 2019 tarihleri arasında onkolojik tedavi uygulanması amacıyla ultrasonografi eşliğinde total intravenöz port katater uygulanan 18 yaş üstü 107 olgu çalışmaya dahil edildi. Çalışmaya alınan hastaların dosyaları retrospektif olarak incelenerek hasta demografik bilgileri, malignite tipi, erişilen ven, işlem süresi, oluşan komplikasyon oranları değerlendirildi. 18 yaş altı ve kayıtlarına ulaşılamayan hastalar çalışmaya dahil edilmedi. Sonuçlar: Çalışmaya dahil edilen hastaların 72’si erkek, 35’i kadın olup ortalama yaşları 61.38 ± 11.26 idi. Total intravenöz port katater uygulanan hastaların 105’inde katatater internal juguler vene yerleştirilirken 2’sinde subklavian vene yerleştirildi. Hastaların 16 (14.95%)’ sında işlem esnasında komplikasyon gelişirken 11 hastada arter ponksiyonu ve hematom, 3 hastada pnömotoraks, 1 hastada hemotoraks ve 1 hastada hemopnömotoraks gelişti. Sonuç: Total intravenöz port katater yerleşiminde ultrasonografi kullanımı işlem süresini uzatmakla birlikte kullanım deneyimi arttıkça komplikasyon oranını düşürmektedir.

Anahtar Kelimeler:

intravenöz, port katater, ultrasonografi

EVALUATION OF TOTAL INTRAVENOUS PORT CATHETER PROCEDURES WITH ULTRASONOGRAPHY

Aim: In our study, we aimed to evaluate our total intravenous port catheter procedures accompanied by ultrasonography. Methods: 107 patients over 18 years of age who underwent total intravenous port catheter with ultrasonography in order to perform oncological treatment between January 2014 and January 2019 were included in the study. The files of the patients included in the study were analyzed retrospectively and patient demographic information, malignancy type, accessed vein, duration of operation, and complication rates were evaluated. Patients under 18 years old and whose records could not be reached were excluded from the study. Results: 72 of the patients included in the study were male and 35 were female, and their mean age was 61.38 ± 11.26. While catheter was placed in the internal jugular vein in 105 of the patients who applied total intravenous port catheter, 2 of patients were placed in the subclavian vein. During the procedure, complications developed in 16 (14.95%) patients. These were arterial puncture and hematoma in 11 patients, pneumothorax in 3 patients, hemothorax in 1 patient, and hemopneumothorax in 1 patient. Conclusion: The use of ultrasonography in total intravenous port catheter lengthens the processing time and decreases the complication rate as the experience of use increases.

Keywords:

intravenous, port catheter, ultrasonography,

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