Trial reportBMC cancer2022
Comparison of comfort and complications of Implantable Venous Access Port (IVAP) with ultrasound guided Internal Jugular Vein (IJV) and Axillary Vein/Subclavian Vein (AxV/SCV) puncture in breast cancer patients: a randomized controlled study.
Trial report in BMC cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06551753 (Distraction-Based Interventions During Implanted Venous Port Catheter Needle Entry), which is not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Distraction-Based Interventions During Implanted Venous Port Catheter Needle Entry: Virtual Reality Application
Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- [Clinical Practice and Quality Control Guidelines for Totally Implantable Venous Access Ports in Cancer Patients (2024)].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2025Guideline
- Comparing internal jugular vein and subclavian vein for central venous insertion of implantable ports in cancer chemotherapy: a meta-analysis of RCTs.Frontiers in oncology · 2025Pooled it
- Transverse versus longitudinal skin incisions for totally implantable venous access port implantation: a randomized controlled trial.Langenbeck's archives of surgery · 2026Trial
- Individualized Blind Techniques for Puncture of Intrathoracic and Extrathoracic Subclavian Vein: Three Simple Experience Tips.Anatolian journal of cardiology · 2023Trial
- Clinical Outcomes and Patient Satisfaction After Ultrasound- and Intracavitary ECG-Guided Totally Implantable Venous Access Port Implantation.Healthcare (Basel, Switzerland) · 2026Article
- Retrospective Analysis of Totally Implantable Venous Access Ports which was Performed using the Patient's Height as a Guide, and the Effect of Catheter Tip Position on Complications.Turkish journal of anaesthesiology and reanimation · 2026Article
- Ipsilateral pull-through technique using a handmade loop snare catheter for difficult port catheter removal.CVIR endovascular · 2026Article
- Discrepancies Between Patient-Reported Discomfort and Clinical Documentation in Postoperative Care of Central Venous Catheters After Surgery: A Prospective Descriptive Study.Health science reports · 2025Article
- Review
- Tunnelless totally implantable venous access device implantation via ultrasound-guided axillary vein puncture: A retrospective analysis.The Journal of international medical research · 2025Article
- Correlation between psychological, family social support, and home nursing quality for an implanted venous access port.World journal of psychiatry · 2025Article
- Article
- Ultrasound-guided axillary vein versus internal jugular vein access for totally implantable venous access ports in breast cancer: a retrospective comparison of patient-reported outcomes.Frontiers in oncology · 2025Article
- Application of pocket-first technique for implantation of totally implantable venous access ports.BMC surgery · 2024Article
- Clinical application of ultrasound-guided totally implantable venous access ports implantation via the posterior approach of the internal jugular vein.Journal of the Chinese Medical Association : JCMA · 2024Article
- Ultrasound-guided subclavian vein catheterisation with a needle guide (ELUSIVE): protocol for a randomised controlled study.BMJ open · 2023Article
- [GMIA-Breast Oncoplastic and Reconstruction Society consensus on operative standards of breast cancer surgery].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2023Article
- Ultrasound-Guided Brachial Plexus Block by Costoclavicular Space Approach: A Narrative Review.Medical science monitor : international medical journal of experimental and clinical research · 2023Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAxillary vein/subclavian vein (AxV/SCV) and Internal jugular vein (IJV) are commonly used for implantable venous access port (IVAP) implantation in breast cancer patients for chemotherapy. Previous research focused on comparison of complications while patient comfort was ignored. This study aims to compare patient comfort, surgery duration and complications of IVAP implantation between IJV and AxV/SCV approaches.
methodsTwo hundred forty-eight breast cancer patients were enrolled in this randomized controlled study from August 2020 to June 2021. Patients scheduled to undergo IVAP implantation were randomly and equally assigned to receive central venous catheters with either AxV /SCV or IJV approaches. All patients received comfort assessment using a comfort scale table at day 1, day 2 and day 7 after implantation. Patient comfort, procedure time of operation as well as early complications were compared.
resultsPatient comfort was significantly better in the AxV/SCV group than that of IJV group in day 1 (P < 0.001), day 2 (P < 0.001) and day 7(P = 0.023). Procedure duration in AxV/SCV group was slightly but significantly shorter than IJV group (27.14 ± 3.29 mins vs 28.92 ± 2.54 mins, P < 0.001). More early complications occurred in AxV/SCV group than IJV group (11/124 vs 2/124, P = 0.019). No difference of complications of artery puncture, pneumothorax or subcutaneous hematoma between these two groups but significantly more catheter misplacement in AxV/SCV group than IJV group (6/124 vs 0/124, P = 0.029). Absolutely total risk of complications was rather low in both groups (8.87% in AxV/SCV group and 1.61% in IJV group).
conclusionsOur study indicates that patients with AxV/SCV puncture have higher comfort levels than IJV puncture. AxV/SCV puncture has shorter procedure duration but higher risk of early complications, especially catheter misplacement. Both these two approaches have rather low risk of complications. Consequently, our study provides an alternative choice for breast cancer patients to reach better comfort.
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