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Comparison between Saline Solution Containing Heparin versus Saline Solution in the Lock of Totally Implantable Catheters
- Source :
- Annals of Vascular Surgery. 47:85-89
- Publication Year :
- 2018
- Publisher :
- Elsevier BV, 2018.
-
Abstract
- Background There are only 3 studies comparing the efficacy of 2 different types of lock used in totally implantable catheters regarding occlusion or reflux dysfunction. The present study contains the largest published casuistry (862 patients) and is the only one that analyzes 3 parameters: occlusion, reflux dysfunction, and flow dysfunction. Methods This was a retrospective study of patients operated at a large oncology center and followed up in the outpatient clinic between 2007 and 2015. The patients were divided into 2 groups according to the type of lock: the Hep group (heparine), whose lock was composed of saline solution 0.9% with heparin (100 IU/mL) and the SS group (saline solution), whose lock was composed of saline solution 0.9%. Results The Hep group was composed of 270 patients (31%) and the SS group of 592 patients (69%). Regarding occlusion, there were 8 cases in the Hep group (2.96%) and 8 in the SS group (1.35%; P = 0.11); in relation to reflux dysfunction, there were 8 cases in the Hep group (2.96%) and 8 in the SS group (1.35%; P = 0.11); in relation to flow dysfunction, there was 1 case in the Hep group (0.37%) and 4 cases in the SS group (0.68%; P = 1). Conclusions There was no statistically significant difference between the groups regarding occlusion, reflux dysfunction, and flow dysfunction.
- Subjects :
- Adult
Catheter Obstruction
Male
Catheterization, Central Venous
medicine.medical_specialty
medicine.medical_treatment
Sodium Chloride
03 medical and health sciences
Catheters, Indwelling
0302 clinical medicine
Occlusion
medicine
Humans
Outpatient clinic
030212 general & internal medicine
Infusions, Intravenous
Saline
Aged
Retrospective Studies
Aged, 80 and over
Implantable Catheters
Heparin
business.industry
Significant difference
Reflux
Anticoagulants
Retrospective cohort study
General Medicine
Middle Aged
Surgery
030220 oncology & carcinogenesis
Female
Cardiology and Cardiovascular Medicine
business
medicine.drug
Subjects
Details
- ISSN :
- 08905096
- Volume :
- 47
- Database :
- OpenAIRE
- Journal :
- Annals of Vascular Surgery
- Accession number :
- edsair.doi.dedup.....4e6985e220d7ace919ac53d180bef85f