1000 Port‐A‐Cath^® Placements by Subclavian Vein Approach: Single Surgeon Experience

Abstract

This is a very large series of PAC placement with an ultrasound-guided approach for left subclavian vein and X-ray confirmation, performed by a single surgeon, demonstrating both the safety and effectiveness of the procedure.

Intravenous treprostinil infusion via a fully implantable pump for pulmonary arterial hypertension

“…In the recent DeliVery for PAH trial (n = 60) intraoperative and perioperative AEs associated with CVC implantation occurred at low rates similar to those observed in our study: the authors reported one case of pneumothorax and three catheter dislocations (all within 1 month of implantation) [16]. In other therapy areas (mainly oncology), intraoperative and perioperative complications associated with CVC implantation have included pneumothorax, accidental arterial puncture, hematoma, dislocations, thrombosis and arrhythmia, and these have varied depending on the implantation protocol [22,23].…”

“…Repositioning of the catheter led to complete and durable resolution of the arrhythmia. In previous studies, implantation of CVCs or ports led to arrhythmia in 0.2-13.9% of cases; as in our study, repositioning of the catheters caused the arrhythmias to resolve [22,29]. One case of arrhythmia was reported in the DeliVery for PAH trial; however, this occurred before catheter insertion and was resolved by cardioversion [16].…”

A novel “shrug technique” for totally implantable venous access devices via the external jugular vein: A consecutive series of 254 patients

“…However, establishing a method that avoids both complications and technical failure is a challenge. Existing approaches are associated with both complications and technical failure, even with real-time ultrasound guidance or cephalic vein cut-down [3][4][5][6][7][8][9][10][11][12][13][14][15][16].…”

“…Furthermore, patients who need TIVADs are already in a fragile state. However, the most common approaches, such as percutaneous puncture methods of the subclavian vein (SCV) or the internal jugular vein (IJV), have the risk of causing serious complications, such as pneumothorax, hemothorax, major nerve injury, catheter pinch-off, or catheter kinking [3][4][5][6][7][8][9][10][11]. The cephalic vein (CV) cut-down technique has been recognized as the safest method and is recently being used more frequently [3,6,12], but, unfortunately, this technique is reported to have a high failure rate (6-30%) [5,[12][13][14][15][16].…”

Risk of venous thromboembolism associated with totally implantable venous access ports in cancer patients: A systematic review and meta‐analysis

“…Retrospective 7,19,20,25,30,31,33,38,39,41,42,45,50,52,54,56,57,59,61,64 Port sites Chest ports 19,24,31,33,34,36,38,39,42,48,[50][51][52][53][54]57,61,64,68,[73][74][75][76] .702…”