Closed cannulation of subclavian vein vs open cut-down of cephalic vein for totally implantable venous access port (TIVAP) implantation: protocol for a systematic review and proportional meta-analysis of perioperative and postoperative complications
Open Access
- 22 April 2015
- journal article
- review article
- Published by Springer Science and Business Media LLC in Systematic Reviews
- Vol. 4 (1), 1-6
- https://doi.org/10.1186/s13643-015-0043-1
Abstract
Totally implantable venous access port (TIVAP) implantation is one of the most often performed operations in general surgery (over 100,000/year in Germany). The two main approaches for TIVAP placement are insertion into the cephalic vein through an open cut-down technique (OCD) or closed cannulation technique of the subclavian vein (CC) with Seldinger technique. Both procedures are performed with high success rates and very low complication frequencies. Because of the low incidence of complications, no single interventional trial is able to report a valid comparison of peri- and postoperative complication frequencies between both techniques. Therefore, the aim of this systematic review is to summarize evidence for peri- and postoperative complication rates in patients undergoing OCD or CC. A systematic literature search will be conducted in The Cochrane Library, MEDLINE, and Embase to identify randomized controlled trials (RCTs), observational clinical studies (OCS), or case series (CS) reporting peri- and/or postoperative complications of at least one implantation technique. A priori defined data will be extracted from included studies, and methodological quality will be assessed. Event rates with their 95% confidence intervals will be derived taking into account the follow-up time per study by patient-months where appropriate. Pooled estimates of event rates with corresponding 95% confidence intervals will be calculated on the base of the Freeman-Tukey double arcsine transformation within a random effect model framework. The findings of this systematic review with proportional meta-analysis will help to identify the procedure with the best benefit/risk ratio for TIVAP implantation. This may have influence on daily practice, and data may be implemented in treatment guidelines. Considering the impact of TIVAP implantation on patients’ well being together with its socioeconomic relevance, patients will benefit from evidence-based treatment and health-care costs may also be reduced. PROSPERO CRD42013005180.Keywords
This publication has 12 references indexed in Scilit:
- Systematic review and meta-analysis of percutaneous subclavian vein punctureversussurgical venous cutdown for the insertion of a totally implantable venous access deviceBritish Journal of Surgery, 2013
- Klinische Studien in der ChirurgieDer Chirurg, 2012
- The Cochrane Collaboration's tool for assessing risk of bias in randomised trialsBMJ, 2011
- Insertion of Totally Implantable Venous Access DevicesAnnals of Surgery, 2011
- Randomized clinical trial comparing venous cutdown with the Seldinger technique for placement of implantable venous access portsBritish Journal of Surgery, 2009
- Best choice of central venous insertion site for the prevention of catheter-related complications in adult patients who need cancer therapy: a randomized trialAnnals Of Oncology, 2009
- Systematic reviews of adverse effects: framework for a structured approachBMC Medical Research Methodology, 2007
- The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventionsJournal of Epidemiology and Community Health, 1998
- Outcome of 350 Implanted Chest Ports Placed by Interventional RadiologistsJournal of Vascular and Interventional Radiology, 1997
- Transformations Related to the Angular and the Square RootThe Annals of Mathematical Statistics, 1950