Port system implantation- a single centre experience

Congress:

ECR 2018

Poster Number:

C-0782

Type:

Scientific Exhibit

Keywords:

Multidisciplinary cancer care, Venous access, Ultrasound, Fluoroscopy, Veins / Vena cava, Oncology, Interventional vascular

Authors:

I. Jurca, R. Smiljanic, M. Prutki, A. M. Alduk; Zagreb/HR

DOI:

10.1594/ecr2018/C-0782

DOI-Link:

https://dx.doi.org/10.1594/ecr2018/C-0782

Fig. 1: Ultrasound-guided internal jugular vein puncture.

Fig. 2: Insertion of the guidewire through the puncture needle under flouroscopy...

Fig. 3: Insertion of the guidewire through the puncture needle under flouroscopy...

Fig. 4: Extraction of the peel-away sheet.

Aims and objectives

Subcutaneous port systems represent a modern, long-term and reliable central venous access, for delivery of drugs, blood products and fluids. Since the first port system implanted in 1982., port systems are preferred over external venous catheters, due to low infection rate and high patient comfort.The aim of this study was to investigate the procedural performance of port system implantation and to determine the associated complications.

Methods and materials

A total of 159 consecutive patients referred for port system implantation between August 2015 and March 2017 were included in this retrospective study. All procedures were performed in local anesthesia using ultrasound-guided puncture of the internal jugular, subclavian or femoral vein ( Fig. 1).After inserting the guidewire in the right atrium or inferior vena cava under fluoroscopy guidance, a peel-off sheath was inserted. Through the sheath, a polyurethane or silicone catheter was deployed, after which a sheath was extracted (Fig. 2, 3 and 4).A 3...

Results

A total of 159 port systems were implanted successfully in all consecutive patients who were referred to port system implantation between August 2015 and March 2017. Among 159 patients (median age 58 years; range 22-82), 62 were women, and 97 were men. The indication for port system implantation was chemotherapy in 157 patients (98,7%) and parenteral nutrition in two patients (1,3%). Port systems were implanted in the right jugular vein (126/159; 79,3%), left subclavian vein (11/159; 6,9%), right subclavian vein (10/159; 6,3%), left jugular vein...

Conclusion

Port system implantation is a safe and reliable procedure. Potentially serious complications can be avoided with image guidance and the proper use and care of port systems

Personal information

References

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