Abstract | BACKGROUND: METHODS: RESULTS: Of 606 patients, 20 (19 women, 1 man; 16 immunoglobulin G subclass deficiency, 4 common variable immunodeficiency; 3.3%) needed implanted ports because they had inadequate upper extremity superficial venous access. Median age at diagnosis was 48 years (range: 32-65 years). In total, 17 of the 20 patients preferred monthly in-office intravenous immunoglobulin G treatment to weekly at-home subcutaneous immunoglobulin G. The other three patients could not be treated with subcutaneous immunoglobulin G (unfavorable self-treatment experiences and insurance limitations). Median duration of treatment via implanted ports was 73 months (range: 10-153 months). In the man, the first implanted port was replaced after 26 months due to catheter fracture of unknown cause. His second port has been used for 112 months. We observed no other port-related failure, infections, thrombosis, or other adverse events. CONCLUSION:
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Authors | James C Barton, Jackson Clayborn Barton, Luigi F Bertoli |
Journal | The journal of vascular access
(J Vasc Access)
Vol. 19
Issue 4
Pg. 375-377
(Jul 2018)
ISSN: 1724-6032 [Electronic] United States |
PMID | 29542377
(Publication Type: Journal Article)
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Chemical References |
- Immunoglobulin G
- Immunologic Factors
|
Topics |
- Adult
- Aged
- Catheterization, Central Venous
(adverse effects, instrumentation)
- Catheters, Indwelling
- Central Venous Catheters
- Drug Administration Schedule
- Equipment Failure
- Female
- Humans
- Immunoglobulin G
(administration & dosage)
- Immunologic Deficiency Syndromes
(diagnosis, drug therapy, immunology)
- Immunologic Factors
(administration & dosage)
- Infusions, Intravenous
- Male
- Middle Aged
- Patient Preference
- Time Factors
- Treatment Outcome
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