PT  - JOURNAL ARTICLE
AU  - HASHIMOTO, SHINTARO
AU  - OTSUBO, RYOTA
AU  - ADACHI, MASAHIRO
AU  - DOI, RYOICHIRO
AU  - SHIBATA, KENICHIRO
AU  - SANO, ISAO
AU  - SHIBATA, YOSHIHITO
AU  - NAKAZAKI, TAKAYUKI
AU  - TANIGUCHI, HIDEKI
AU  - NAGAYASU, TAKESHI
TI  - Cephalic Vein Cut-down for Totally Implantable Central Venous Access Devices With Preoperative Ultrasonography by Surgical Residents
AID  - 10.21873/invivo.11707
DP  - 2019 Nov 01
TA  - In Vivo
PG  - 2079--2085
VI  - 33
IP  - 6
4099  - http://iv.iiarjournals.org/content/33/6/2079.short
4100  - http://iv.iiarjournals.org/content/33/6/2079.full
SO  - In Vivo2019 Nov 01; 33
AB  - Background/Aim: Cephalic vein (CV) cut-down for totally implantable central venous access devices (TICVADs) is not frequently used due to its low success rate. We compared the outcomes of CV cut-down using preoperative ultrasonography (US) performed by experienced surgeons versus surgical residents. Patients and Methods: From December 2015 to December 2017, 10 surgeons implanted 212 TICVADs using CV cut-down with preoperative US. The surgeons were divided into two groups of five each: surgical residents (Group A, n=124 procedures) and experienced surgeons (Group B, n=88 procedures). Duration of operation time, completion rate, and complications were retrospectively analyzed. Results: The completion rate was significantly higher in Group A (98.4% versus 92.0%, p=0.04). Duration of operation time (45.2±14.5 versus 42.0±13.1 minutes, p=0.22), rates of early complications (1.6% versus 1.1%, p=0.77) and late complications (3.2% versus 2.3%, p=0.68) were equivalent between the two groups. No fatal complications occurred in either group. Conclusion: CV cut-down can be safely performed by surgical residents under the use of preoperative US.