J Korean Cancer Assoc.  2000 Dec;32(6):1115-1121.

Radiologic Placement of Subcutaneous Infusion Ports in Cancer Patients: Analysis of 45 Cases

• Cho SG
• Kim SH
• Song HH
• Song SH
• Lee KH
• Chung DY
• Lee HJ
• Kim SH
• Kim KT
• Kim CC

Abstract

PURPOSE: We undertook this study to evaluate the usefullness of radiologic placement of subcutaneous infusion ports (SIP).
MATERIALS AND METHODS
Between August 1999 and May 2000 we performed 45 implantations of SIP in radiologic suite. Both sonography and fluoroscopy were used for venipuncture and to guide port insertion. We prospectively evaluated 45 systems in 45 patients with solid tumors.
RESULTS
Median follow-up time was 189 days (61~352 days). Technical success rate is 100% without any venipuncture-related complications. Early complication rate within 30 days of procedure was 4.4%, including wound dehiscence (n=1) and pocket hematoma and local infection (n=1). Catheter-related infection rate was 6.7% and catheter-related venous thrombosis rate was 4.4%. Mean duration of catheter use was 208 96 days (total, 9,381 days). Overall port survival rate was 38.5%, and four systems (8.9%) were prematurely removed because of catheter tunnel infection (n=1), pocket infection (n=1), and central venous thrombosis (n=2).
CONCLUSION
Radiologic placement of SIP had higher success rate and equal or lower complication rate compared with reported conventional surgical technique using anatomical landmarks. Moreover, clinical convenience, resulting from ease of scheduling could make it replace surgical method.

Keyword

Subcutaneous infusion port; Radiologic placement

MeSH Terms

Catheter-Related Infections
Catheters
Fluoroscopy
Follow-Up Studies
Hematoma
Humans
Infusions, Subcutaneous*
Phlebotomy
Prospective Studies
Survival Rate
Venous Thrombosis
Wounds and Injuries