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Does catheter material affect functional performance of intravenous ports via the superior vena cava?
- Source :
- PLoS ONE, Vol 16, Iss 10, p e0253818 (2021), PLoS ONE, PLoS ONE, Vol 16, Iss 10 (2021)
- Publication Year :
- 2021
- Publisher :
- Public Library of Science (PLoS), 2021.
-
Abstract
- Introduction 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. Materials and methods 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. Results 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). Conclusion 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.
- Subjects :
- Male
Medical Implants
Polymers
Polyurethanes
Silicones
Cannulation
Jugular Vein
Vascular Medicine
chemistry.chemical_compound
Catheters, Indwelling
Jugular vein
Medicine and Health Sciences
Materials
Multidisciplinary
Incidence
Venous Thromboembolism
Middle Aged
Physical Functional Performance
Deep Vein Thrombosis
Catheter
Chemistry
Macromolecules
Physical Sciences
Engineering and Technology
Medicine
Administration, Intravenous
Equipment Failure
Female
Anatomy
Research Article
Biotechnology
medicine.medical_specialty
Catheterization, Central Venous
Catheters
Vena Cava, Superior
Science
Materials Science
Biomaterial Implants
Vascular access
Taiwan
Bioengineering
Surgical and Invasive Medical Procedures
Veins
Silicone
Superior vena cava
Thromboembolism
medicine
Operating time
Humans
business.industry
Chemical Compounds
Biology and Life Sciences
Biocompatible material
Polymer Chemistry
Surgery
chemistry
Cardiovascular Anatomy
Blood Vessels
Medical Devices and Equipment
Complication
business
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Volume :
- 16
- Issue :
- 10
- Database :
- OpenAIRE
- Journal :
- PLoS ONE
- Accession number :
- edsair.doi.dedup.....f8f09fcc318a14b1092beab501345414