J Korean Radiol Soc.  2003 Sep;49(3):165-171. 10.3348/jkrs.2003.49.3.165.

Implantable Central Venous Chemoport: Comparision of Results According to Approach Routes and Methods

• Shin BS
• Ahn M

• KMID: 1900119
• DOI: http://doi.org/10.3348/jkrs.2003.49.3.165

Abstract

PURPOSE: To evaluate the results and complications of placement of implantable port according to approach routes and methods.
MATERIALS AND METHODS
Between April 2001 and October 2002, a total of 103 implantable chemoport was placed in 95 patients for chemotherapy using preconnected type (n=39) and attachable type (n=64). Puncture sites were left subclavian vein (n=35), right subclavian vein (n=5), left internal jugular vein (n=9), right internal jugular vein (n=54). We evaluated duration of catheterization days, complications according to approach routes and methods.
RESULTS
Implantable chemoport was placed successfully in all cases. Duration of catheterization ranged from 8 to 554 days(mean 159, total 17,872 catheter days). Procedure related complications occurred transient pulmonary air embolism (n=1), small hematoma (n=1) and malposition in using preconnected type (n=2). Late complications occurred catheter migration (n=5), catheter malfunction (n=3), occlusion (n=1) and infection (n=11). Among them 15 chemoport was removed (14.5%). Catheter migration was occured via subclavian vein in all cases (13%, p=.008). Infection developed in 10.7% of patients(0.61 per 1000 catheter days). There were no catheter-related central vein thrombosis.
CONCLUSION
Implantation of chemoport is a safe procedure. Choice of right internal jugular vein than subclavian vein for puncture site has less complications. And selection of attachable type of chemoport is convenient than preconnected type. Adequate care of chemoport is essential for long patency.

Keyword

Catheters and catheterization, technology; Catheters and catheterization, central venous access

MeSH Terms

Catheterization
Catheters
Drug Therapy
Embolism, Air
Hematoma
Humans
Jugular Veins
Punctures
Subclavian Vein
Thrombosis
Veins