Advertisement
< Vol. 16 Issue 1 (January-February)

External jugular vein approach for TIVAD implantation: first choice or only an alternative? A review of the literature

External jugular vein approach for TIVAD implantation: first choice or only an alternative? A review of the literature

J Vasc Access 2015; 16(1): 1 - 4

Article Type: REVIEW

Article Subject: Oncology

DOI:10.5301/jva.5000287

Authors

Olga Iorio, Giuseppe Cavallaro

Corresponding author

  • Giuseppe Cavallaro
  • Department of Medico-Surgical
  • Sapienza University Rome, Italy
  • giuseppe.cavallaro@uniroma1.it

Abstract

Totally implantable venous access devices (TIVADs) can be implanted by percutaneous approach (to the subclavian or internal jugular vein) or by surgical approach, through cephalic vein or external jugular vein (EJV). The authors present a review of the literature about EJV approach for TIVAD implantation.

A review of articles indexed in MEDLINE (PubMed) and Cochrane Central Register on “EJV access,” “EJV cut-down,” and “TIVADs” was performed, even matching the terms.

We gathered articles from papers quoting patient number, specialist involved, number of devices implanted, site and technique of implantation and complications.

A total of 1,308 TIVAD implantations through EJV have been reported, with a success rate ranging from 73.7% to 100% and a complication rate up to 13%. Only in 4 on 10 series reported (with more than 15 procedures) the EJV approach was the first choice, while in the other 6 series this approach was the alternative after failure of other approaches.

Despite the lack of consistent series and prospective studies comparing EJV with other approaches, data present in the literature may support the evidence that EJV approach for TIVAD implantation is safe and effective, and may be considered as the first approach in selected patients.

Article History

  • • Accepted on 13/06/2014
  • • Available online on 02/09/2014
  • • Published in print on 16/02/2015

Disclosures

Financial support: None.
Conflict of interest: None.

This article is available as full text PDF.

  • If you are a Subscriber, please log in now.

  • Article price: Eur 36,00
  • You will be granted access to the article for 72 hours and you will be able to download any format (PDF or ePUB). The article will be available in your login area under "My PayPerView". You will need to register a new account (unless you already own an account with this journal), and you will be guided through our online shop. Online purchases are paid by Credit Card through PayPal.
  • If you are not a Subscriber you may:
  • Subscribe to this journal
  • Unlimited access to all our archives, 24 hour a day, every day of the week.

Authors

  • Iorio, Olga [PubMed] [Google Scholar]
  • Cavallaro, Giuseppe [PubMed] [Google Scholar] , * Corresponding Author (giuseppe.cavallaro@uniroma1.it)

Affiliations

  • Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University, Rome - Italy

Article usage statistics

The blue line displays unique views in the time frame indicated.
The yellow line displays unique downloads.
Views and downloads are counted only once per session.

No supplementary material is available for this article.