Cochrane · systematic review · CD008942

Venous cutdown versus the Seldinger technique for placement of totally implantable venous access ports

Hsu, CCT, Kwan, GNC, Evans‐Barns, H, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

VascularAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 5 · 100%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Venous cutdown versus Seldinger technique for placement of implantable venous access ports

Population: patients requiring an elective TIVAP insertion for treatment of benign or malignant disease
5 questions
OutcomeEffectEvidenceStatus / GRADE
Success of primary implantation
Venous cutdown vs Seldinger technique
OR 0.4 [0.25, 0.65]7 studies · 1006 participantsModerate
Downgraded: imprecision
Overall perioperative and postoperative complications
Venous cutdown vs Seldinger technique
OR 1.16 [0.76, 1.75]7 studies · 1006 participantsModerate
Downgraded: imprecision
Pneumothorax
Venous cutdown vs Seldinger technique
OR 1.97 [0.53, 7.34]7 studies · 1006 participantsModerate
Downgraded: imprecision
Infections
Venous cutdown vs Seldinger technique
OR 0.63 [0.25, 1.56]6 studies · 906 participantsModerate
Downgraded: imprecision
Catheter/port‐related complications
Venous cutdown vs Seldinger technique
OR 1 [0.61, 1.64]7 studies · 1006 participantsModerate
Downgraded: imprecision