title: An entirely echo-guided technique for totally implantable access port positioning.
abstract: Percutaneous central vascular venous access to allow positioning of a totally implantable access port (TIAP) is a widely employed procedure. An open issue is the need to find an ionizing radiation free technique which allows a safe and correct positioning of the device. Echo-guided vein puncture is currently accepted as the best method for decreasing major immediate complications. We describe an entirely echo-based method for the insertion and assessment of correct placement of the totally implantable access ports (TIAP). 20 TIAPs with the described technique have been placed. TIAP can be safely positioned by entirely echo-guided technique avoiding ionizing radiation imaging.
authors.affiliation: General Surgery Department, Desio Hospital, via Mazzini n. 1, Desio, 20033 Italy.
authors.forename: Gian Domenico
authors.initials: GD
authors.lastname: Arzu
authors.affiliation: General and Emergency Surgery Department, Ospedali Riuniti, largo Barozzi n. 1, Bergamo, 24128 Italy.
authors.forename: Federico
authors.initials: F
authors.lastname: Coccolini
authors.affiliation: General Surgery Department, Desio Hospital, via Mazzini n. 1, Desio, 20033 Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Rossi
authors.affiliation: General Surgery Department, Desio Hospital, via Mazzini n. 1, Desio, 20033 Italy.
authors.forename: Fabio
authors.initials: F
authors.lastname: Longaretti
authors.affiliation: General Surgery Department, Desio Hospital, via Mazzini n. 1, Desio, 20033 Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Costanzi
authors.affiliation: General Surgery Department, Desio Hospital, via Mazzini n. 1, Desio, 20033 Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Senatore
authors.affiliation: General Surgery Department, Desio Hospital, via Mazzini n. 1, Desio, 20033 Italy.
authors.forename: Angelo
authors.initials: A
authors.lastname: Miranda
authors.affiliation: General Surgery Department, Desio Hospital, via Mazzini n. 1, Desio, 20033 Italy.
authors.forename: Dario
authors.initials: D
authors.lastname: Maggioni
keywords: Central vein; Technique; Totally implantable access port; Ultra sound