Radiologic placement of a low profile implantable venous access port in a pediatric population

Cardiovascular and Interventional Radiology
J L NosherR A Drachtman

Abstract

To evaluate the feasibility and complications of placement of a low-profile venous access port in the chest in children requiring long-term venous access. A low-profile peripheral arm port (PAS port; Sims Deltec, St. Paul, MN, USA) was implanted in the chest in 22 children over a 4-year period. The mean age of the study group was 6 years (range: 9 months to 20 years). Ports were placed for the administration of chemotherapy, hyperalimentation and frequent blood sampling. Sonographic guidance was used to access the internal jugular or subclavian vein in each case. A review of all inpatient and outpatient charts was undertaken to assess catheter performance and complications. Access to the central venous circulation was successfully achieved in each case without complication. Ports remained implanted for 6579 catheter-days (mean: 299 days). Ten ports have been removed. Of three patients (13%) experiencing device-related infections (0.45 infections/1000 catheter days), two (9.1%) were unresponsive to antibiotics and removed (0.3 infections/1000 catheter days). One port was removed because of pain in the shoulder adjacent to the port implantation site. One port was removed because of difficult access. The final port was removed in ...Continue Reading

Citations

Mar 16, 2006·Pediatric Radiology·James S Donaldson
Dec 17, 2008·Cardiovascular and Interventional Radiology·Ulf Karl-Martin TeichgräberBernhard Gebauer
Jul 14, 2004·European Radiology·Barbaros E Cil
Jan 9, 2007·Cardiovascular and Interventional Radiology·Riitta Rautio, Arto Haapanen
Nov 16, 2007·Journal of Vascular and Interventional Radiology : JVIR·Bora PeynirciogluBarbaros Erhan Cil
Aug 11, 2007·Surgical Oncology·Mark A Bittles, Fredric A Hoffer
Jun 6, 2015·Journal of the American College of Radiology : JACR·Jennifer R LaRoyParag J Patel
May 12, 2005·Cardiovascular and Interventional Radiology·Alex M Barnacle, Tricia M Kleidon
Oct 6, 2006·Current Opinion in Anaesthesiology·Nikolaus A Haas, Silke A Haas
Nov 23, 2013·The Pediatric Infectious Disease Journal·Etan OrgelReuven J Schore
Dec 10, 2008·Pediatric Hematology and Oncology·Bogusław BuckiTomasz Szczepański
Aug 6, 2021·International Journal of Pediatrics & Adolescent Medicine·Osama A Bawazir, Abdullah Bawazir

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