• Image-Guided Chemoport Inserti...

Treffer: Image-Guided Chemoport Insertion by a Vascular Surgeon: A Technique for Minimizing Complications.

Title:
Image-Guided Chemoport Insertion by a Vascular Surgeon: A Technique for Minimizing Complications.
Authors:
Kim C; Division of Transplantation and Vascular Surgery, Department of Surgery, Yeungnam University Hospital, Yeungnam University College of Medicine, Daegu, Republic of Korea. Electronic address: chosini8687@hanmail.net.
Source:
The Journal of surgical research [J Surg Res] 2025 Dec; Vol. 316, pp. 90-97. Date of Electronic Publication: 2025 Nov 25.
Publication Type:
Journal Article
Language:
English
Journal Info:
Publisher: Academic Press Country of Publication: United States NLM ID: 0376340 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1095-8673 (Electronic) Linking ISSN: 00224804 NLM ISO Abbreviation: J Surg Res Subsets: MEDLINE
Imprint Name(s):
Publication: New York, NY : Academic Press
Original Publication: Philadelphia [etc.]
MeSH Terms:
Catheterization, Central Venous*/adverse effects , Catheterization, Central Venous*/methods , Catheterization, Central Venous*/instrumentation , Neoplasms*/drug therapy , Surgery, Computer-Assisted*/methods , Surgery, Computer-Assisted*/adverse effects , Antineoplastic Agents*/administration & dosage , Postoperative Complications*/prevention & control , Postoperative Complications*/epidemiology , Postoperative Complications*/etiology, Humans ; Female ; Middle Aged ; Retrospective Studies ; Male ; Adult ; Aged ; Ultrasonography, Interventional ; Jugular Veins/diagnostic imaging ; Jugular Veins/surgery ; Catheters, Indwelling/adverse effects ; Fluoroscopy
Contributed Indexing:
Keywords: Catheter complications; Central venous access; Chemoport; Image-guided technique; Vascular surgery
Substance Nomenclature:
0 (Antineoplastic Agents)
Entry Date(s):
Date Created: 20251126 Date Completed: 20251218 Latest Revision: 20251218
Update Code:
20251219
DOI:
10.1016/j.jss.2025.10.040
PMID:
41297276
Database:
MEDLINE

Weitere Informationen

Introduction: Totally implantable central venous port systems are essential for administering long-term chemotherapy in cancer patients, minimizing complications from repeated peripheral vein access. Despite advancements in technique and devices, procedural complications remain a concern. This study presents a safe, efficient method for chemoport implantation performed by a vascular surgeon using image-guided techniques.
Methods: This retrospective analysis included 443 adult patients who underwent chemoport insertion form March 2022 and September 2023 at a single tertiary care center. All procedures were conducted by the same vascular surgeon using ultrasound-guided internal jugular vein (IJV) puncture and fluoroscopic guidance for catheter placement. The Celsite Safety Port Kit was used in all cases. Data on demographics, procedural details, and complications were collected from electronic medical records.
Results: Of the 443 patients (mean age 54.0 y; 95.3% female), 90.3% had breast cancer. The right IJV was accessed in 56.7%, and the left IJV was accessed in 43.1%. The mean catheter indwelling duration was 318.6 d. Average catheter lengths were 21.2 cm (via right IJV) and 23.7 cm (via left IJV). No intraoperative or early complications occurred. Nine (2.0%) patients experienced late complications: four infections, two thrombotic events, one skin erosion, one device malfunction, and one chamber site infection. All complications were successfully managed with no procedure-related mortality.
Conclusions: Standardized, image-guided chemoport insertion by a vascular surgeon results in a low complication rate. The catheter length measurements may serve as a useful reference, particularly in settings lacking fluoroscopic guidance.
(Copyright © 2025 Elsevier Inc. All rights reserved.)