Shanghai expert consensus on totally implantable access ports 2019

Xiaoyi Ding; Fang Ding; Yonggang Wang; Liying Wang; Jianfeng Wang; Lichao Xu; Wentao Li; Jijin Yang; Xiaoxi Meng; Min Yuan; Jun Chu; Feng Ge; Weihua Dong; Mei Xue; Shanghai Cooperation Group on Central Venous Access Vascular Access Committee of the Solid Tumor Theranostics Committee, Shanghai Anti-Cancer Association

doi:10.1016/j.jimed.2019.10.008

Shanghai expert consensus on totally implantable access ports 2019

J Interv Med. 2019 Nov 2;2(4):141-145. doi: 10.1016/j.jimed.2019.10.008. eCollection 2019 Nov.

Authors

Affiliations

¹ Ruijin Hospital Affiliated with Shanghai Jiaotong University School of Medicine, Shanghai, 200025, China.
² Sixth People's Hospital Affiliated with Shanghai Jiaotong University, Shanghai, 200233, China.
³ Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, 200032, China.
⁴ Shanghai First People's Hospital, Shanghai Jiaotong University, Shanghai, 200080, China.
⁵ Changhai Hospital Affiliated with The Second Military Medical University, Shanghai, 200433, China.
⁶ Changzheng Hospital Affiliated with The Second Military Medical University, Shanghai, 200003, China.
⁷ Shanghai Public Health Clinical Center Affiliated with Fudan University, Shanghai, 200083, China.
⁸ Shanghai Children's Medical Center Affiliated with Shanghai Jiaotong University, Shanghai, 200025, China.
⁹ Zhongshan Hospital Affiliated with Fudan University, Shanghai, 200032, China.

Abstract

Totally implantable access ports (TIAPs) are used for patients with poor peripheral vascular support requiring central venous access. In recent years, TIAPs have been gradually accepted and promoted by patients, doctors, and nurses owing to their advantages of convenient carrying, a long maintenance period, low complications, and a high quality of life for patients. Currently, medical personnel that handle TIAP implantation and management in China are from different areas of healthcare, including surgery, internal medicine, radiology, nurse anesthesia, vascular access, etc., and many only handle TIAP as a part of their duties. Therefore, the operating procedures and steps for the diagnosis and treatment of complications of TIAP vary from person to person, resulting in different incidence and treatment methods for complications in the implantation and use of TIAP in different medical units. Based on this, we have updated the Shanghai expert consensus on TIAPs from 2015 and explored the diagnosis and treatment procedures of related complications while continuing to emphasize standardized implantation and maintenance.

Keywords: Complication; Implantation; Maintenance; Standard; Totally implantable access port.