Hakan ÖNDER, Güven TEKBAŞ, Mehmet TURMAK, Ali İNAL, Faysal EKİCİ, Hatice GÜMÜŞ, Akın ÖNDER

Image-Guided Subcutaneous Port Implantation in Patients with Malignant Diseases

Anjiyografi ünitesinde ultrason ve floroskopi altında 49 tamamen implante edilebilen subkutan venöz port retrospektif olarak incelendi. 49 subkutan venöz göğüs portu 48 hastada (ortalama yaş 49.3 ± 16.7 yıl ) yerleştirildi . Bir hastaya iki port implantasyonu uygulandı. Tüm portlar tek lümen kateterine sahipti. Prosedürler ultrason ve anjiyografi ünitesinde floroskopi altında yapıldı. Tüm portlar göğüs ön duvarına yerleştirildi. Teknik başarı oranı %100 idi . İşleme bağlı minör veya major komplikasyon gözlenmemiştir . Erken komplikasyon (birinci ay ) olmadı. Geç komplikasyonlar % 8.3 oranında oluştu (n: 4) . Cerrahi literatürde malign hastalıklarda, subkutan venöz portların radyolojik implantasyonu benzer veya daha düşük komplikasyon oranları ile tercihedilebilir. Bu nedenle, görüntüleme kılavuzluğunda port implantasyonu gelecekte daha çok tercih edilen implantasyon yöntemi olabilir

Anahtar Kelimeler:

Ultrasound, deri altı venöz port, malignite

Image-Guided Subcutaneous Port Implantation in Patients with Malignant Diseases

To present the results of our retrospective study on 49 totally implantable subcutaneous venous ports inserted in angiography unit under ultrasound and fluoroscopic guidance. Between January 2010 and November 2011, 49 subcutaneous venous chest ports were placed in 48 patients (mean age, 49.3±16.7 years). One patient underwent port implantation twice. All the ports had single lumen catheters. The procedures were performed under ultrasound and fluoroscopic guidance in angiography unit. All ports were placed on the anterior chest wall. The technical success rate was 100%. There was no procedure-related minor or major complication. Mean duration of catheter usage was 220 days (total, 100.180 catheter days; range, 15 to 420 catheter days). There was no early complication(in the first month). Late complications occurred at a rate of 8.3% (n=4). Among those four cases, two ports (4.1%) had to be removed due to thrombosis. One port was explanted due to treatment-resistant bacteremia and sepsis, the other due to catheter malposition. In patients with malignant diseases, radiological implantation of subcutaneous venous ports can be performed with similar or lower complication rates, as compared to the surgical literature, due to the obvious advantage of imaging guidance. Hence, port implantation with imaging guidance may become a more preferred implantation method in the future.

Keywords:

Ultrasound, subcutaneous venous port, malignancy,

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