PURPOSE: To evaluate the clinical results of central venous access port (CV port) placement by translumbar inferior vena cava cannulation using angio-CT unit for cancer patients with superior vena cava syndrome. MATERIALS AND METHODS: A CV port was placed by translumbar inferior vena cava cannulation using an angio-CT unit, in 14 consecutive patients. All patients had occlusion or advanced stenosis of the superior vena cava due to cancer progression. RESULTS: The technical success rate of the percutaneous translumbar CV port placement was 100%. The only complication related to port placement was bleeding in the right iliopsoas muscle seen on CT in one patient, but it stopped with conservative treatment. The mean initial device service interval was 125 days (range 6-448 days). Complications in the chronic phase occurred in two patients, one with catheter-related infection and the other with catheter breakage, for a rate of 0.44/1000 catheter days. In the patient with the broken catheter, the port chamber placement site was cut and replaced with a new catheter by guidewire exchange. CONCLUSIONS: CV port placement with translumbar inferior vena cava cannulation using an angio-CT unit for cancer patients with superior vena cava syndrome was safe and effective.
PURPOSE: To evaluate the clinical results of central venous access port (CV port) placement by translumbar inferior vena cava cannulation using angio-CT unit for cancerpatients with superior vena cava syndrome. MATERIALS AND METHODS: A CV port was placed by translumbar inferior vena cava cannulation using an angio-CT unit, in 14 consecutive patients. All patients had occlusion or advanced stenosis of the superior vena cava due to cancer progression. RESULTS: The technical success rate of the percutaneous translumbar CV port placement was 100%. The only complication related to port placement was bleeding in the right iliopsoas muscle seen on CT in one patient, but it stopped with conservative treatment. The mean initial device service interval was 125 days (range 6-448 days). Complications in the chronic phase occurred in two patients, one with catheter-related infection and the other with catheter breakage, for a rate of 0.44/1000 catheter days. In the patient with the broken catheter, the port chamber placement site was cut and replaced with a new catheter by guidewire exchange. CONCLUSIONS: CV port placement with translumbar inferior vena cava cannulation using an angio-CT unit for cancerpatients with superior vena cava syndrome was safe and effective.
Entities:
Keywords:
Central venous access port; Inferior vena cava; Superior vena cava syndrome; Translumbar
Authors: Houssam K Younes; Candace D Pettigrew; Javier E Anaya-Ayala; George Soltes; Wael E Saad; Mark G Davies; Alan B Lumsden; Eric K Peden Journal: J Vasc Interv Radiol Date: 2011-02 Impact factor: 3.464
Authors: J D Bennett; D Papadouris; R N Rankin; R F McGloughlin; S Kribs; R I Kozak; G Garvin; J Elliott Journal: J Vasc Interv Radiol Date: 1997 Sep-Oct Impact factor: 3.464
Authors: Selim R Butros; T Gregory Walker; Gloria M Salazar; Sanjeeva P Kalva; Rahmi Oklu; Stephan Wicky; Suvranu Ganguli Journal: J Vasc Interv Radiol Date: 2014-02-06 Impact factor: 3.464
Authors: T Tanaka; Y Arai; Y Inaba; M Inoue; H Nishiofuku; H Anai; S Hori; H Sakaguchi; K Kichikawa Journal: Br J Radiol Date: 2014-06-27 Impact factor: 3.039
Authors: J Merrer; B De Jonghe; F Golliot; J Y Lefrant; B Raffy; E Barre; J P Rigaud; D Casciani; B Misset; C Bosquet; H Outin; C Brun-Buisson; G Nitenberg Journal: JAMA Date: 2001-08-08 Impact factor: 56.272
Authors: Jonathan Fergus; Karan Nijhawan; Nicholas Feinberg; Mark Hieromnimon; Rakesh Navuluri; Steve Zangan; Brian S Funaki; Osman Ahmed Journal: Abdom Radiol (NY) Date: 2021-07-06