Ultrasound guided implantation of chest port systems via the lateral subclavian vein

RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
M ZähringerK Lackner

Abstract

Retrospective analysis of the success and complication rates of chest port implantation via the lateral subclavian vein. Between January 2003 and June 2004, the lateral subclavian vein in 271 patients (186 women, 85 men, mean age 53.2 years) was punctured guided by ultrasound. This access was used to insert a port system, and the catheter tip was placed at the cavoatrial junction. The port reservoir was implanted in a subcutaneous infraclavicular pocket and fixed to the fascia of the pectoralis muscle. Indications for port implantation were chemotherapy (n = 239), total parenteral nutrition (n = 2) and intravenous medication (n = 30). The patient follow-up was mainly performed either by the oncology division of the department of gynecology or by the department of internal medicine. A chest port catheter system was successfully implanted in all patients. The catheter remained in place for a mean duration of 269.4 days (SD 192.3 days). No complications occurred during implantation. In the post-interventional period, 6 catheter dysfunctions were found (thrombotic 0.09 per 1000 catheter days; mechanic 0.05 per 1000 catheter days). While one local infection occurred in the early post-interventional period, 3 local and 15 systemic in...Continue Reading

Citations

Mar 22, 2008·Der Radiologe·S Knapp, C Stroszczynski
May 7, 2008·European Radiology·Pierre-Yves Marcy
Feb 11, 2014·Journal of Vascular and Interventional Radiology : JVIR·Selim R ButrosSuvranu Ganguli
Sep 27, 2008·Angiology·Pierre-Yves MarcyFrédéric Peyrade
Jan 30, 2014·The Journal of Vascular Access·Akio TamuraTetsuya Itabashi
Dec 17, 2008·Cardiovascular and Interventional Radiology·Ulf Karl-Martin TeichgräberBernhard Gebauer

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