Ulf Karl Martin Teichgraeber MD, Presenter: Nothing to Disclose

Stephan Kausche, Abstract Co-Author: Nothing to Disclose

Sebastian Nagel, Abstract Co-Author: Nothing to Disclose

Bernhard Gebauer MD, Abstract Co-Author: Nothing to Disclose

Maximilian De Bucourt MD, Abstract Co-Author: Nothing to Disclose

Retrospective analysis of success and complication rates after radiologically assisted catheter port implantation.

Between 4/26/2000 and 11/3/2008, 3,160 port catheter systems were implanted in our interventional suite. The final follow-up deadline was 12/31/2009. The indication for port implantation was impending chemotherapy. All interventions were image guided - the puncture of the internal jugular vein (IJV) was sonographically assisted and the catheter tip position was controlled with fluoroscopy. Catheter indwelling time and complication rates of peri-procedural, early and late complications were evaluated.

922,599 catheter days (mean, 292 days) were documented. The implantation was successful in 3,153 (99.8%) cases. A total of 413 (13.1%) adverse events were recorded. Of these, 42 (1.33%) were peri-procedural complications, of which 34 were treated successfully. 103 (3.3%) early and 268 (8.5%) late onset complications occurred after port implantation. The most common complications were blood stream infection=134 (4.2%), catheter-induced venous thrombosis n=117 (3.7%), catheter migration n=41 (1.3%) and fibrin sheath formation n=20 (0.6%). No pneumothoraces were recorded. A total of 194 (6.1%) port explantations were required.

An ultrasound guided puncture technique, a central venous access via the internal jugular vein and radiological guidance of the procedure contribute to low peri-procedural complication rates after port implantation. Typical complications associated with the surgical technique, such as pneumothorax or pinch-off phenomena were not observed. We hereby conclude that an image guided implantation technique should be regarded as the method of choice for this procedure.

A sonographically guided central venous access via the internal jugular vein reduces the rate of peri-procedural complications.

Teichgraeber, U, Kausche, S, Nagel, S, Gebauer, B, De Bucourt, M, Outcome Analysis in 3,160 Implantations of Radiologically-guided Insertion of Totally Implantable Central Venous Access Ports.  Radiological Society of North America 2010 Scientific Assembly and Annual Meeting, November 28 - December 3, 2010 ,Chicago IL. http://archive.rsna.org/2010/9007893.html