{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:04:51Z","timestamp":1777935891162,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2018,3,15]],"date-time":"2018-03-15T00:00:00Z","timestamp":1521072000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>We sought to learn more about the utility and safety of implanted ports for monthly immunoglobulin G infusions in adults with primary immune deficiency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We reviewed charts of adults who were referred to a single practice during the interval 2006\u20132016 for evaluation and management of frequent or severe upper and lower respiratory tract and other infections, subnormal total immunoglobulin G or immunoglobulin G subclasses, and suboptimal responses to polyvalent pneumococcal polysaccharide vaccinations; were diagnosed to have primary immune deficiency; and were advised to undergo immunoglobulin G therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>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\u201365 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\u2013153 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The utility and safety of implanted ports in adults with primary immune deficiency for whom subcutaneous immunoglobulin G therapy is not desired or feasible are probably similar to those of ports in patients without primary immune deficiency.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1129729818757966","type":"journal-article","created":{"date-parts":[[2018,3,15]],"date-time":"2018-03-15T07:30:12Z","timestamp":1521099012000},"page":"375-377","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Implanted ports in adults with primary immunodeficiency"],"prefix":"10.1177","volume":"19","author":[{"given":"James C","family":"Barton","sequence":"first","affiliation":[{"name":"Department of Medicine, Brookwood Medical Center, Birmingham, AL, USA"},{"name":"Southern Iron Disorders Center, Birmingham, AL, USA"},{"name":"Department of Medicine, The University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jackson Clayborn","family":"Barton","sequence":"additional","affiliation":[{"name":"Southern Iron Disorders Center, Birmingham, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luigi F","family":"Bertoli","sequence":"additional","affiliation":[{"name":"Department of Medicine, Brookwood Medical Center, Birmingham, AL, USA"},{"name":"Southern Iron Disorders Center, Birmingham, AL, USA"},{"name":"Brookwood Biomedical, Birmingham, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,3,15]]},"reference":[{"key":"bibr1-1129729818757966","doi-asserted-by":"publisher","DOI":"10.1006\/clim.1999.4725"},{"key":"bibr2-1129729818757966","doi-asserted-by":"publisher","DOI":"10.1007\/s11882-002-0067-1"},{"key":"bibr3-1129729818757966","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2350-4-3"},{"key":"bibr4-1129729818757966","doi-asserted-by":"publisher","DOI":"10.1182\/asheducation.V2012.1.301.3798316"},{"key":"bibr5-1129729818757966","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/542706"},{"key":"bibr6-1129729818757966","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2013.12.1077"},{"key":"bibr7-1129729818757966","doi-asserted-by":"publisher","DOI":"10.1006\/clin.1997.4386"},{"key":"bibr8-1129729818757966","doi-asserted-by":"publisher","DOI":"10.1007\/s10875-007-9103-1"},{"key":"bibr9-1129729818757966","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2249.1999.01023.x"},{"key":"bibr10-1129729818757966","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2249.2009.04062.x"},{"key":"bibr11-1129729818757966","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2010-01-254417"},{"key":"bibr12-1129729818757966","doi-asserted-by":"publisher","DOI":"10.1097\/ACI.0b013e32834c22da"},{"key":"bibr13-1129729818757966","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(91)93323-2"},{"key":"bibr14-1129729818757966","doi-asserted-by":"publisher","DOI":"10.1006\/clim.1999.4799"},{"key":"bibr15-1129729818757966","doi-asserted-by":"publisher","DOI":"10.1016\/S1081-1206(10)61142-8"},{"key":"bibr16-1129729818757966","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-540-78936-9_3"},{"key":"bibr17-1129729818757966","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2015.07.025"},{"key":"bibr18-1129729818757966","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.2007.01699.x"}],"container-title":["The 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