title: Safety of a totally implantable central venous port system with percutaneous subclavian vein access.
abstract: BACKGROUND
  The role of totally implantable central venous port (TICVP) system is increasing. Implantation performed by radiologist with ultrasound-guided access of vein and fluoroscope-guided positioning of catheter is widely accepted nowadays. In this article, we summarized our experience of TICVP system by surgeon and present the success and complication rate of this surgical method.
  
  
  METHODS
  Between March 2009 and December 2010, 245 ports were implanted in 242 patients by surgeon. These procedures were performed with one small skin incision and subcutaneous puncture of subclavian vein. Patient's profiles, indications of port system, early and delayed complications, and implanted period were evaluated.
  
  
  RESULTS
  There were 82 men and 160 women with mean age of 55.74. Port system was implanted on right chest in 203, and left chest in 42 patients. There was no intraoperative complication. Early complications occurred in 11 patients (4.49%) including malposition of catheter tip in 6, malfunction of catheter in 3, and port site infection in 2. Late complication occurred in 12 patients (4.90%).
  
  
  CONCLUSIONS
  Surgical insertion of TICVP system with percutaneous subclavian venous access is safe procedures with lower complications. Careful insertion of system and skilled management would decrease complication incidence.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, Korea.
authors.forename: Dong-Yoon
authors.initials: DY
authors.lastname: Keum
authors.forename: Jae-Bum
authors.initials: JB
authors.lastname: Kim
authors.forename: Min-Cheol
authors.initials: MC
authors.lastname: Chae
keywords: Port; Subclavian vein