Technique and Experience of Totally Implanted Subclavian Venous Access Ports With Ultrasound-Guided Insertion
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : S. Mudan, A. Giakoustidis, S. Iosifidou, D. Giakoustidis
- چاپ و سال / کشور: 2011
Description
Aim-Background: The aim of this manuscript is to prove the safety and efficacy of the totally implantable venous access ports (TIVAPs). Patients with cancer can benefit from TIVAPs as far as the administration of chemotherapy is concerned. We describe the technique of Port-A-Cath (PAC) placement by puncture of the subclavian vein with ultrasonographic guidance (US). Method / Results: We performed a retrospective analysis of data on 554 patients that underwent ultrasound-guided Port-A-Cath placement with xray check, between June 2004 and June 2010, with left subclavian venous access as primary choice. The procedure was carried out by a single surgeon and his team in 2 clinical institutions. Left subclavian vein cannulation was successful at first attempt in 517 patients (95%) and pneumothorax occurred in 6 patients in whom either side subclavian vein access was first attempted (1.1%). Conclusion: Port-A-Cath placement with an ultrasound- guided approach for left subclavian vein and x-ray check, performed by a single experienced surgeon and his team, is a technique that is both safe and beneficial for the oncology patient.
Hellenic Journal of Surgery 2011; 83: 1 Received 12/01/2011 Accepted 07/02/2011
