PMID- 20390274
OWN - NLM
STAT- MEDLINE
DCOM- 20151023
LR  - 20150702
IS  - 1432-086X (Electronic)
IS  - 0174-1551 (Linking)
VI  - 33
IP  - 5
DP  - 2010 Oct
TI  - Ultrasound-Guided Radiological Placement of Central Venous Port via the 
      Subclavian Vein: A Retrospective Analysis of 500 Cases at a Single Institute.
PG  - 989-94
LID - 10.1007/s00270-010-9841-y [doi]
AB  - The purpose of this study was to assess the technical success rate and adverse 
      events (AEs) associated with ultrasound (US)-guided radiological placement (RP) 
      of a central venous port (CVP) via the subclavian vein (SCV). Between April 2006 
      and May 2007, a total of 500 US-guided RPs of a CVP via the SCV were scheduled in 
      486 cancer patients (mean age +/- SD, 54.1 +/- 18.1 years) at our institute. 
      Referring to the interventional radiology report database and patients' records, 
      technical success rate and AEs relevant to CVP placement were evaluated 
      retrospectively. The technical success rate was 98.6% (493/500). AEs occurred in 
      26 cases (5.2%) during follow-up (range, 1-1080 days; mean +/- SD, 304.0 +/- 
      292.1 days). AEs within 24 h postprocedure occurred in five patients: 
      pneumothorax (n = 2), arterial puncture (n = 1), hematoma formation at the pocket 
      site (n = 2), and catheter tip migration into the internal mammary vein (n = 1). 
      There were seven early AEs: hematoma formation at the pocket site (n = 2), fibrin 
      sheath formation around the indwelling catheter (n = 2), and catheter-related 
      infections (n = 3). There were 13 delayed AEs: catheter-related infections (n = 
      7), catheter detachments (n = 3), catheter occlusion (n = 1), symptomatic 
      thrombus in the SCV (n = 1), and catheter migration (n = 1). No major AEs, such 
      as procedure-related death, air embolism, or events requiring surgical 
      intervention, were observed. In conclusion, US-guided RP of a CVP via the SCV is 
      highly appropriate, based on its high technical success rate and the limited 
      number of AEs.
FAU - Sakamoto, Notiaki
AU  - Sakamoto N
AD  - Division of Diagnostic Radiology, National Cancer Center Hospital, Tsukiji 5-1-1, 
      Chuo-ku, 104-0045 Tokyo, Japan. nosakamoto@hotmail.co.jp
FAU - Arai, Yasuaki
AU  - Arai Y
FAU - Takeuchi, Yoshito
AU  - Takeuchi Y
FAU - Takahashi, Mahahide
AU  - Takahashi M
FAU - Tsurusaki, Masakatsu
AU  - Tsurusaki M
FAU - Sugimuta, Kazuro
AU  - Sugimuta K
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Cardiovasc Intervent Radiol
JT  - Cardiovascular and interventional radiology
JID - 8003538
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Catheterization, Central Venous/adverse effects/*methods
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Neoplasms/*drug therapy
MH  - Retrospective Studies
MH  - *Subclavian Vein
MH  - *Ultrasonography, Interventional
EDAT- 2010/04/15 06:00
MHDA- 2015/10/24 06:00
CRDT- 2010/04/15 06:00
PHST- 2009/11/05 00:00 [received]
PHST- 2010/03/12 00:00 [accepted]
PHST- 2010/04/15 06:00 [entrez]
PHST- 2010/04/15 06:00 [pubmed]
PHST- 2015/10/24 06:00 [medline]
AID - 10.1007/s00270-010-9841-y [doi]
PST - ppublish
SO  - Cardiovasc Intervent Radiol. 2010 Oct;33(5):989-94. doi: 
      10.1007/s00270-010-9841-y.