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Safety of a Totally Implantable Central Venous Port System with Percutaneous Subclavian Vein Access

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Author(s)
Dong-Yoon KeumJae-Bum KimMin-Cheol Chae
Keimyung Author(s)
Keum, Dong YoonKim, Jae Bum
Department
Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
Journal Title
Korean Journal of Thoracic and Cardiovascular Surgery
Issued Date
2013
Volume
46
Issue
3
Keyword
PortSubclavian vein
Abstract
Background
The role of totally implantable central venous port (TICVP) system is increasing. Implantation performed by radiologist with ultrasound-guided access of vein and fluoroscope-guided positioning of catheter is widely accepted nowadays. In this article, we summarized our experience of TICVP system by surgeon and present the success and complication rate of this surgical method.
Materials and Methods
Between March 2009 and December 2010, 245 ports were implanted in 242 patients by surgeon. These procedures were performed with one small skin incision and subcutaneous puncture of subclavian vein. Patient's profiles, indications of port system, early and delayed complications, and implanted period were evaluated.
Results
There were 82 men and 160 women with mean age of 55.74. Port system was implanted on right chest in 203, and left chest in 42 patients. There was no intraoperative complication. Early complications occurred in 11 patients (4.49%) including malposition of catheter tip in 6, malfunction of catheter in 3, and port site infection in 2. Late complication occurred in 12 patients (4.90%).
Conclusion
Surgical insertion of TICVP system with percutaneous subclavian venous access is safe procedures with lower complications. Careful insertion of system and skilled management would decrease complication incidence.
Keywords: Port, Subclavian vein
Keimyung Author(s)(Kor)
금동윤
김재범
Publisher
School of Medicine
Citation
Dong-Yoon Keum et al. (2013). Safety of a Totally Implantable Central Venous Port System with Percutaneous Subclavian Vein Access. Korean Journal of Thoracic and Cardiovascular Surgery, 46(3), 202~207-202~207. doi: 10.5090/kjtcs.2013.46.3.202
Type
Article
ISSN
2233-601X
DOI
10.5090/kjtcs.2013.46.3.202
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34529
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
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