Evidence map›Paper›PMID 36509940›Full record

ArticleCardiovascular and interventional radiology2023

Alternate Cervical Venous Access Sites for Implantable Port Catheters: Experience at a Single Quaternary Care Institution.

Frank K Liou, Patrick Y Kim, S Paran Yap, Abdullah Khan, Sandra Taylor, Rex Pillai, Eric King, Amol Shah, R Torrance Andrews, Catherine T Vu and 1 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Cardiovascular and interventional radiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 73% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Frank K LiouDavis Medical Center. Department of Radiology, University of California, 4860 Y Street, Suite 3100, Sacramento, CA, 95817, USA. fkliou@ucdavis.edu.ORCID http://orcid.org/0000-0001-5633-506X
Patrick Y KimDavis Medical Center. Department of Radiology, University of California, 4860 Y Street, Suite 3100, Sacramento, CA, 95817, USA.
S Paran YapDavis Medical Center. Department of Radiology, University of California, 4860 Y Street, Suite 3100, Sacramento, CA, 95817, USA.
Abdullah KhanDavis Medical Center. Department of Radiology, University of California, 4860 Y Street, Suite 3100, Sacramento, CA, 95817, USA.
Sandra TaylorDavis Medical Center, Clinical and Translational Science Center, University of California, Sacramento, CA, USA.
Rex PillaiDavis Medical Center. Department of Radiology, University of California, 4860 Y Street, Suite 3100, Sacramento, CA, 95817, USA.
Eric KingDavis Medical Center. Department of Radiology, University of California, 4860 Y Street, Suite 3100, Sacramento, CA, 95817, USA.
Amol ShahDavis Medical Center. Department of Radiology, University of California, 4860 Y Street, Suite 3100, Sacramento, CA, 95817, USA.
R Torrance AndrewsDavis Medical Center. Department of Radiology, University of California, 4860 Y Street, Suite 3100, Sacramento, CA, 95817, USA.
Catherine T VuDavis Medical Center. Department of Radiology, University of California, 4860 Y Street, Suite 3100, Sacramento, CA, 95817, USA.
Roger E GoldmanDavis Medical Center. Department of Radiology, University of California, 4860 Y Street, Suite 3100, Sacramento, CA, 95817, USA.
University of California Davis Medical Center · US

Funding

UC Davis Clinical and Translational Science CenterUL1TR001860 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI KENYON, NICHOLAS J., LYLES, COURTNEY REES · 2016 to 2025
$47.3M
NCATS NIH HHS UL1 TR001860
6 · The paper itself

Abstract

introductionClinical outcomes of implantable port catheters (IPCs) placed via alternative veins such as the external jugular and cervical collaterals have not been well established. This investigation evaluates the short- and long-term outcomes of IPCs inserted via alternate cervical veins (ACV) compared to traditionally inserted IPCs via the internal jugular vein (IJV). MATERIALS AND

methodsA total of 24 patients who received an IPC between 2010 and 2020 via an ACV-defined as the external jugular vein, superficial cervical vein, or unnamed collateral veins-were identified. Based on power analysis, a matched control group of 72 patients who received IPCs via the IJV was identified. Non-inferiority analysis for port complications was performed between the two groups based on the selected non-inferiority margin of 20%. Secondary end points included complication-free survival and comparison of complications by the time at which they occurred.

resultsACV access was non-inferior to traditional access for overall complications. Alternate access resulted in fewer complications than traditional access with an estimated reduction of - 7.0% [95% CI - 23.6%, 39.7%]. There was no significant difference in peri-procedural and post-procedural complications between the two groups. Complication-free survival was also equivalent between the two groups.

conclusionIPC placement via ACVs was non-inferior to IPCs placed via traditional access through the IJV. When abnormal pathology obviates the use of IJV access, other cervical veins may be considered prior to seeking alternate locations such as femoral, translumbar, inferior vena cava, and hepatic veins.

Indexed as

Catheterization, Central VenousVascular Access DevicesCatheters, IndwellingHumansJugular VeinsVena Cava, InferiorCentral vein occlusionCentral venous accessPort complications

Identifiers

PMID36509940
PMCPMC9810555
OpenAlexW4311292031

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.