title: Implanting totally implantable venous access port via the internal jugular vein guided by ultrasonography is feasible and safe in patients with breast cancer.
abstract: BACKGROUND
  Because of long-term use for chemotherapy and fluid administration in cancer patients, a totally implantable venous access port (TIVAP) has been advised as a feasible catheter. The purpose of this study was to evaluate the effectiveness and safety of ultrasound (US)-guided internal jugular vein (IJV) puncture for TIVAP implantation in patients with breast cancer.
  
  
  METHODS
  We reviewed the medical records of 492 patients who underwent US-guided IJV puncture for TIVAP implantation at our oncology department between 2010 and 2013. Indications, surgical complications, and early and long-term complications were analyzed.
  
  
  RESULTS
  All TIVAPs were implanted successfully. Indications for TIVAP were chemotherapy alone (88 patients), chemoradiotherapy (387 patients), surgery (12 patients), and parenteral nutrition (5 patients). Complications were observed in 65 (13.21%) patients. The median duration of the TIVAP was 359 days (range, 28 to 712 days) without damage to the port or catheter, or leakage of drugs outside of the port system.
  
  
  CONCLUSIONS
  A TIVAP can be employed for chemotherapy and parenteral nutrition on the implantation day. Using a US-guided IJV puncture to completely implant a TIVAP is feasible and safe in patients with breast cancer.
authors.forename: Jie
authors.initials: J
authors.lastname: Zhou
authors.forename: Shikun
authors.initials: S
authors.lastname: Qian
authors.forename: Weixing
authors.initials: W
authors.lastname: He
authors.forename: Guodong
authors.initials: G
authors.lastname: Han
authors.affiliation: Cancer Center, Nanfang Hospital, Southern Medical University, No, 1838, Northern Guangzhou Road, 510515 Guangzhou, Guangdong, China. lihongsheng0102@163.com.
authors.forename: Hongsheng
authors.initials: H
authors.lastname: Li
authors.forename: Rongcheng
authors.initials: R
authors.lastname: Luo
mesh_terms: D000328:Adult; D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001943:Breast Neoplasms / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D002405:Catheterization, Central Venous / Q000379:methods*; D002408:Catheters, Indwelling; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007601:Jugular Veins / Q000000981:diagnostic imaging*; D008875:Middle Aged; D009367:Neoplasm Staging; D010288:Parenteral Nutrition; D011379:Prognosis; D012189:Retrospective Studies; D012449:Safety; D015996:Survival Rate; D014463:Ultrasonography; D055815:Young Adult