title: Percutaneous placement of peritoneal port-catheter in oncologic patients.
abstract: The aim of this paper is to describe the technique of percutaneous ultrasound (US)-guided placement of a peritoneal port-catheter in an interventional radiological setting. Nineteen patients with peritoneal carcinomatosis were selected for intraperitoneal port-catheter placement in order to perform intracavitary receptor-immuno- or radio-immunotherapy with Ytrium-90. All the procedures were performed percutaneously under US and fluoro guidance; the insertion site for catheters was chosen according to abdominal conditions and US findings: all devices were implanted at the lower abdominal quadrants. All patients were followed up with CT and US according to the therapy protocol. The procedure was successfully completed in 15/19 patients, in 4 being contraindicated by peritoneal adhesions. No procedure-related complications and device occlusions during therapy were observed; one catheter displaced 7 months later the placement. In our experience, this procedure was feasible, reliable and easy to perform, allowing the correct administration of the planned intracavitary therapy. Peritoneal adhesions are the main limitation of peritoneal port placement.
authors.affiliation: Division of Radiology, European Institute of Oncology, Via Ripamonti, 435, 20141 Milan, Italy. franco.orsi@ieo.it
authors.forename: Franco
authors.initials: F
authors.lastname: Orsi
authors.forename: Paolo
authors.initials: P
authors.lastname: Della Vigna
authors.forename: Silvia
authors.initials: S
authors.lastname: Penco
authors.forename: Guido
authors.initials: G
authors.lastname: Bonomo
authors.forename: Elena
authors.initials: E
authors.lastname: Lovati
authors.forename: Massimo
authors.initials: M
authors.lastname: Bellomi
mesh_terms: D000328:Adult; D000368:Aged; D002277:Carcinoma / Q000532:radiotherapy*; D002404:Catheterization / Q000009:adverse effects / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D005471:Fluoroscopy / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D010529:Peritoneal Cavity / Q000000981:diagnostic imaging*; D010534:Peritoneal Neoplasms / Q000532:radiotherapy* / Q000556:secondary; D016499:Radioimmunotherapy / Q000379:methods; D016896:Treatment Outcome; D014463:Ultrasonography; D015021:Yttrium Radioisotopes / Q000627:therapeutic use
chemical_list: D015021:Yttrium Radioisotopes