title: Intraperitoneal catheters: percutaneous placement with fluoroscopic guidance.
abstract: OBJECTIVE
  The authors reviewed their experience with percutaneous placement of catheters into the peritoneal cavity for the administration of intraperitoneal chemotherapy to determine if their approach resulted in a lower complication rate than the reported 12%-16% rate and to demonstrate the technical advantages over surgically placed catheters.
  
  
  METHODS
  Seventy-six patients with gastrointestinal or gynecologic malignancies underwent 152 procedures during a 20-month period. The catheters were used to deliver antineoplastic agents and, in some patients, to drain ascites. Catheter insertion was performed with local anesthesia and a modified Seldinger technique. A 5-F catheter was used in 89% of procedures; in the remainder, the catheter was of a larger caliber.
  
  
  RESULTS
  The procedure was successful in 145 (95%) instances and failed in seven (5%) attempts because of peritoneal adhesions. The catheters remained in place for less than 2 days in 56%, 2-10 days in 25%, and more than 10 days in 19% of patients. One catheter remained in place for 15 weeks. Complications occurred in seven procedures (5%). Four cases of mild peritonitis responded to a brief course of intravenously administered antibiotics, and severe pain in two patients required premature catheter removal. A single case of inadvertent transcolonic catheter placement occurred without adverse sequelae to the patient.
  
  
  CONCLUSIONS
  Intraperitoneal catheterization can be performed with local anesthesia by using a simple technique with a very low complication rate. The catheters can remain in place for prolonged periods without significant risks.
authors: Department of Diagnostic Radiology, University of Texas M.D. Anderson Cancer Center 77030.
authors: I R
authors: IR
authors: Kirk
authors: C H
authors: CH
authors: Carrasco
authors: D D
authors: DD
authors: Lawrence
authors: V P
authors: VP
authors: Chuang
authors: W R
authors: WR
authors: Richli
authors: C
authors: C
authors: Charnsangavej
authors: J J
authors: JJ
authors: Kavanagh
authors: A P
authors: AP
authors: Kudelka
authors: R S
authors: RS
authors: Freedman
authors: A B
authors: AB
authors: Markowitz
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000970:Antineoplastic Agents / Q000008:administration & dosage; D002404:Catheterization / Q000379:methods*; D002408:Catheters, Indwelling; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D007263:Infusions, Parenteral; D008297:Male; D008875:Middle Aged; D010529:Peritoneal Cavity / Q000000981:diagnostic imaging; D015641:Radiography, Interventional; D012189:Retrospective Studies
chemical_list: D000970:Antineoplastic Agents