title: J-tipped guidewire as a target for puncture of the subclavian artery in the placement of a reservoir port and catheter system.
abstract: The aim of this study was to verify the feasibility of using a J-tipped guidewire as a target for puncture of the subclavian artery in the placement of a reservoir port and catheter system (RPCS). Twenty-five patients with various hepatic malignancies underwent percutaneous implantation of an RPCS through the left subclavian artery for regional chemotherapy. To successfully puncture the left subclavian artery, a J-tipped guidewire was used as a target with fluoroscopic guidance. Technical success and complication rates, and numbers of puncture failures, were retrospectively analyzed. Implantation of the RPCS was successful in all patients. Eight (32%) patients had minor complications and no patient had major complications. The number of puncture failures per patient was 0 to 1 (mean=0.32). The J-tipped guidewire is a safe and appropriate target for puncture of the subclavian artery in the placement of an RPCS.
authors: Department of Radiology, National Defense Medical College, 3-2 Namiki, Tokorozawa, 359-0042 Saitama, Japan. yjhama@me.ndmc.ac.jp
authors: Yukihiro
authors: Y
authors: Hama
authors: Kohzoh
authors: K
authors: Makita
authors: Shoichi
authors: S
authors: Kusano
mesh_terms: D000328:Adult; D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000188:drug therapy*; D002406:Catheterization, Peripheral / Q000009:adverse effects / Q000379:methods*; D002408:Catheters, Indwelling; D018281:Cholangiocarcinoma / Q000188:drug therapy*; D015179:Colorectal Neoplasms / Q000473:pathology; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007261:Infusions, Intra-Arterial; D008113:Liver Neoplasms / Q000188:drug therapy* / Q000556:secondary; D008297:Male; D008875:Middle Aged; D010173:Palpation; D011677:Punctures / Q000295:instrumentation*; D013274:Stomach Neoplasms / Q000473:pathology; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D014463:Ultrasonography