Percutaneous placement of peritoneal port-catheter in oncologic patients

European Radiology
Franco OrsiMassimo Bellomi

Abstract

The aim of this paper is to describe the technique of percutaneous ultrasound (US)-guided placement of a peritoneal port-catheter in an interventional radiological setting. Nineteen patients with peritoneal carcinomatosis were selected for intraperitoneal port-catheter placement in order to perform intracavitary receptor-immuno- or radio-immunotherapy with Ytrium-90. All the procedures were performed percutaneously under US and fluoro guidance; the insertion site for catheters was chosen according to abdominal conditions and US findings: all devices were implanted at the lower abdominal quadrants. All patients were followed up with CT and US according to the therapy protocol. The procedure was successfully completed in 15/19 patients, in 4 being contraindicated by peritoneal adhesions. No procedure-related complications and device occlusions during therapy were observed; one catheter displaced 7 months later the placement. In our experience, this procedure was feasible, reliable and easy to perform, allowing the correct administration of the planned intracavitary therapy. Peritoneal adhesions are the main limitation of peritoneal port placement.

References

Jan 1, 1990·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·G Los, J G McVie
Apr 28, 1989·Deutsche medizinische Wochenschrift·U LafferH R Stoll
Jun 1, 1994·Gynecologic Oncology·S E WaggonerW Barnes

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Citations

Jan 9, 2007·Cardiovascular and Interventional Radiology·Orhan OzkanOkan Akhan
Nov 15, 2011·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Craig R GrebenEric J Gandras
Aug 2, 2011·Journal of Minimally Invasive Gynecology·Jo Marie Tran JancoChristopher S Awtrey
Jun 15, 2007·Seminars in Oncology·Vadim GushchinJohn M Kane

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