{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T18:50:31Z","timestamp":1780599031768,"version":"3.54.1"},"reference-count":22,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2011,7,13]],"date-time":"2011-07-13T00:00:00Z","timestamp":1310515200000},"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":[[2012,1]]},"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p> To identify risk factors for the development of catheter-related thrombosis (CRT) in patients with totally implant-able venous access ports (TIVAP) in the forearm, and to analyze the effect of prophylaxis and treatment. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> We retrospectively identified 200 patients (94 men, 106 women, mean age 57.7 +\/-14 y) with TIVAP implantation in the forearm between 3\/2010 and 11\/2010. Type, number of punctures and sonographically defined diameter of the accessed vein were analyzed. Chemotherapy administered prior to the implantation procedure and history of thrombo-embolic events were assessed. Thrombo-embolic prophylaxis (TEP) following port implantation and treatment as well as course of CRT were analyzed. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Twenty-one patients (10.5%) were diagnosed with CRT. Accessed vessels and mean diameter were basilic (n=150, 3.7 mm), brachial (n=39, 3.5 mm) and cephalic (n=11, 3.5 mm) vein. Neither type nor vessel diameter had effect on CRT development (P&gt;.05). Implantation in the left forearm resulted in a significantly higher rate of CRT (P=.04). Ninety-five patients (47.5%) received chemotherapy and 30 patients (15.0%) had a history of thrombosis prior to implantation; both had no effect on development of CRT. Low molecular weight heparin (LMWH) was prescribed in 94\/200 patients (47.0%) and had no effect on development of CRT (P&gt;.05). Therapeutic anticoagulation with LMWH resulted in clinical improvement in 12\/21 patients (57.4%). <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> TIVAPs of the forearm may be associated with a certain rate of early and late CRT. The simplest vein to puncture should be selected for vascular access. Thrombo-embolic prophylaxis appears to be rather ineffective for prevention of CRT. <\/jats:p><\/jats:sec>","DOI":"10.5301\/jva.5000003","type":"journal-article","created":{"date-parts":[[2011,7,13]],"date-time":"2011-07-13T12:10:59Z","timestamp":1310559059000},"page":"79-85","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":22,"title":["Identification of Risk Factors for Catheter-Related Thrombosis in Patients with Totally Implantable Venous Access Ports in the Forearm"],"prefix":"10.1177","volume":"13","author":[{"given":"Jan P.","family":"Goltz","sequence":"first","affiliation":[{"name":"Institute of Radiology, Julius-Maximilians-University of W\u00fcrzburg - Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan S.","family":"Schmid","sequence":"additional","affiliation":[{"name":"Institute of Radiology, Julius-Maximilians-University of W\u00fcrzburg - Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian O.","family":"Ritter","sequence":"additional","affiliation":[{"name":"Institute of Radiology, Julius-Maximilians-University of W\u00fcrzburg - Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascal","family":"Kn\u00f6dler","sequence":"additional","affiliation":[{"name":"Institute of Radiology, Julius-Maximilians-University of W\u00fcrzburg - Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernhard","family":"Petritsch","sequence":"additional","affiliation":[{"name":"Institute of Radiology, Julius-Maximilians-University of W\u00fcrzburg - Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Kirchner","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, Allgemeines Krankenhaus, Hagen - Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dietbert","family":"Hahn","sequence":"additional","affiliation":[{"name":"Institute of Radiology, Julius-Maximilians-University of W\u00fcrzburg - Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralph","family":"Kickuth","sequence":"additional","affiliation":[{"name":"Institute of Radiology, Julius-Maximilians-University of W\u00fcrzburg - Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2011,7,13]]},"reference":[{"key":"bibr1-jva.5000003","doi-asserted-by":"publisher","DOI":"10.1007\/s002700001721"},{"key":"bibr2-jva.5000003","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-010-9854-6"},{"key":"bibr3-jva.5000003","doi-asserted-by":"publisher","DOI":"10.5301\/JVA.2010.5849"},{"key":"bibr4-jva.5000003","doi-asserted-by":"publisher","DOI":"10.1055\/s-0028-1109453"},{"key":"bibr5-jva.5000003","doi-asserted-by":"publisher","DOI":"10.1016\/S1051-0443(07)61936-8"},{"key":"bibr6-jva.5000003","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.9-2-207"},{"key":"bibr7-jva.5000003","doi-asserted-by":"publisher","DOI":"10.1097\/01.RVI.0000094617.61428.bc"},{"key":"bibr8-jva.5000003","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(02)00905-1"},{"key":"bibr9-jva.5000003","doi-asserted-by":"publisher","DOI":"10.1007\/s002689900342"},{"key":"bibr10-jva.5000003","doi-asserted-by":"publisher","DOI":"10.1007\/s002700010041"},{"key":"bibr11-jva.5000003","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2007.10.018"},{"key":"bibr12-jva.5000003","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2004.06.023"},{"key":"bibr13-jva.5000003","author":"Goltz J.P.","year":"2010","journal-title":"Cardiovasc Intervent Radiol."},{"key":"bibr14-jva.5000003","doi-asserted-by":"publisher","DOI":"10.1016\/0022-4804(92)90006-L"},{"key":"bibr15-jva.5000003","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.1993.11.11.2181"},{"key":"bibr16-jva.5000003","doi-asserted-by":"publisher","DOI":"10.1016\/S1051-0443(97)70537-2"},{"key":"bibr17-jva.5000003","doi-asserted-by":"publisher","DOI":"10.1177\/0148607107031005382"},{"key":"bibr18-jva.5000003","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdp052"},{"key":"bibr19-jva.5000003","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2009.07.124"},{"key":"bibr20-jva.5000003","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1007\/BF02987107","volume":"7","author":"Starkhammar H.","year":"1990","journal-title":"Med Oncol Tumor Pharmacother."},{"key":"bibr21-jva.5000003","first-page":"313","volume":"139","author":"Vandoni R.E.","year":"2009","journal-title":"Swiss Med Wkly"},{"key":"bibr22-jva.5000003","doi-asserted-by":"publisher","DOI":"10.1177\/0148607188012002190"}],"container-title":["The Journal of Vascular Access"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5301\/jva.5000003","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5301\/jva.5000003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T02:12:26Z","timestamp":1740967946000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.5301\/jva.5000003"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,7,13]]},"references-count":22,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2012,1]]}},"alternative-id":["10.5301\/jva.5000003"],"URL":"https:\/\/doi.org\/10.5301\/jva.5000003","relation":{},"ISSN":["1129-7298","1724-6032"],"issn-type":[{"value":"1129-7298","type":"print"},{"value":"1724-6032","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,7,13]]}}}