Meta-analysis of primary open versus closed cannulation strategy for totally implantable venous access port implantation.

ABSTRACT:

Background

There is still no reference standard for the implantation of totally implantable venous access ports (TIVAPs). A recently published multicentre randomised controlled trial (RCT) revealed a significantly greater risk of pneumothorax after closed cannulation than after an open strategy. The aim of this meta-analysis was to provide an update of the available evidence for the safety and effectiveness of primary open versus closed cannulation strategy.

Methods

RCTs comparing outcomes of open cut-down of the cephalic vein and closed cannulation of the subclavian vein were sought systematically in MEDLINE, Web of Science and CENTRAL. The primary outcome was the occurrence of pneumothorax. A beta-binominal model was applied to combine the respective outcomes, and results

SUBMITTER: Klaiber U 

PROVIDER: S-EPMC8106576 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature