Comparison of three guidance placement of implantable venous access port

doi:10.16139/j.1007-9610.2018.04.019

Abstract

Abstract: Objective To compare digital subtraction arteriography(DSA) guidance, CT guidance and B-ultrasound guidance of implantable venous access port placement. Methods The clinical data of 82 cases with implanted internal jugular venous access port including 30 cases in DSA-guided group, 22 cases in CT-guided group and 30 case in B-ultrasound-guided group from April 2017 to February 2018 in our hospital were analyzed retrospectively. Operation time, radiation dose and complications were compared. Results The placement of port was successful in all the patients. The operation time of cases in CT-guided group was significantly longer and the radiation dose higher than in the other two groups (P<0.05). Several complications were observed in three groups. Pneumothorax in one case, hemothorax in one case and pulling sensation of neck in one case were found respectively in DSA-guided group. Only pulling sensation of neck discomfort was found in one case of CT-guided group. The pulling sensation of neck was present in one case and the catheter with angle formed in another case in B-ultrasound guided group. There was no significant difference statistically in complications among three groups(P>0.05). Local and systemic infection, gas embolism, arrhythmia and other serious complications were all not seen in three groups. Conclusions The placement of an internal jugular vein port through DSA guidance is convenient, time-saving and low radiation exposure, and there is risk of internal jugular vein puncture without guiding.

Key words: Digital subtraction arteriography guidance, B-ultrasound guidance, CT guidance, Implantable venous access port

CLC Number:

LIU Jingjing, HUANG Wei, WU Zhiyuan, WANG Qingbing, DING Xiaoyi, WANG Zhongmin, LIU Qin, WANG Ziyin. Comparison of three guidance placement of implantable venous access port[J]. Journal of Surgery Concepts & Practice, 2018, 23(04): 369-373.

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