[Percutaneous interventional radiologic implantation of intravenous port-catheter systems].
OBJECTIVE
Percutaneous interventional radiologic and surgical techniques of port-catheter implantation are described and compared with regard to the technical procedure and results.


METHODS
In 53 patients with various malignancies interventional radiologic implantation of port-catheter systems into the subclavian vein was performed to provide long-term intravenous access for chemotherapy. The technical procedure, operation time, complication rates and long-term patency were compared with those of surgically implanted systems.


RESULTS
Implantation was successful in all cases. Mean operation time was 36 min (range 20-55 min). Mean function time was 189 days (range 7-518). Primary patency rate was 92.5% with a total complication rate of 15% (8/53). In three patients (5.7%) pneumothorax was observed but did not require further treatment. In two cases (3.8%) local infection occurred, and in one patient (1.8%) a non-complicated wound dehiscence. In 12/53 patients (22.6%) the system was withdrawn. Among these, withdrawal was due to complications in 4/53 (7.6%) cases.


CONCLUSIONS
Interventional radiologic implantation of long-term intravenous port-catheter systems is comparable to surgical placement with regard to both complication rate and long-term patency.
Herrmann
K A
KA
Institut für Radiologische Diagnostik des Klinikum Grosshadern, Ludwigs-Maximilians-Universität München.
Waggershauser
T
T
Helmberger
T
T
Heinemann
V
V
Sittek
H
H
Reiser
M
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002405:Catheterization, Central Venous / Q000295:instrumentation*; D002408:Catheters, Indwelling; D005260:Female; D006801:Humans; D015918:Infusion Pumps, Implantable; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000188:drug therapy*; D011859:Radiography; D015642:Radiology, Interventional; D013350:Subclavian Vein / Q000000981:diagnostic imaging