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Title of Journal: Surg Today

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Abbravation: Surgery Today

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Springer Japan

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DOI

10.1002/chin.201543046

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1436-2813

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Ultrasoundguided infraclavicular axillary vein pu

Authors: Hideki Osawa Junichi Hasegawa Kazuma Yamakawa Nobuki Matsunami Shoki Mikata Junzo Shimizu Yong Kook Kim Hirotaka Morishima Masaki Hirota Yoshihito Souma Ho Min Kim Genta Sawada Riichiro Nezu
Publish Date: 2012/08/28
Volume: 43, Issue: 7, Pages: 745-750
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Abstract

Pinchoff syndrome POS is a serious complication encountered during the longterm management of totally implantable access ports TIAPs The aim of this study was to examine the effect of ultrasoundguided infraclavicular axillary vein puncture to avoid POS in patients with longterm use of a TIAPThis was a retrospective review of 207 consecutive TIAPs one hundred devices implanted using an anatomical landmark technique were used as historical controls Landmark group while 107 devices were implanted using an ultrasound USguided puncture method US group The pinchoff grade POG was determined using chest Xray findings following the definition of Hinke and the progression of POG during the followup period of the Landmark and US groups was comparedSixteen cases in the Landmark group were POG1 and 3 were POG2 while all cases in the US group were POG0 at the time of venipuncture p  0001 Eleven patients in the Landmark group showed some degree of progression of the POG during the followup period In contrast there were no cases showing progression of the POG in the US group p = 0002

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