Die sonographisch gezielte Implantation von Portkathetersystemen über die laterale Vena subclavia

Zähringer, M.; Hilgers, Judith; Krüger, Karsten; Strohe, David; Bangard, Christopher; Neumann, L.; Warm, Mathias; Reiser, M.; Töx, Ulrich; Lackner, K.

doi:10.1055/s-2006-926472

Cited by 14 publications

(1 citation statement)

References 13 publications

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“…Anschließend erfolge vor dem Hautschnitt und der Präparation der Porttasche eine erneute Lokalanästhesie im Bereich der ventralen, infraklavikulä-ren Brustwand mit bis zu 30 [22 -25]. Die Implantation eines zentralvenösen Portkatheters unterscheidet sich jedoch deutlich von der Implantation eines kurzfristigen, zentralvenösen Katheters (ZVK) [5,26]. In der Regel sind die Patienten durch die vorangegangene Therapie und die Grunderkrankung bereits immunkompromittiert, zum anderen ist die Implantation eines Portkatheters eine langfristige Maßnahme mit Implantation eines größeren Fremdkörpers.…”

Section: Radiologisch-interventionelle Portimplantationunclassified

Periinterventionelle prophylaktische Antibiotikagabe bei der radiologischen Portkatheterimplantation

Gebauer

Teichgräber

Werk

et al. 2007

Fortschr Röntgenstr

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Section: Radiologisch-interventionelle Portimplantationunclassified

Periinterventionelle prophylaktische Antibiotikagabe bei der radiologischen Portkatheterimplantation

Gebauer

Teichgräber

Werk

et al. 2007

Fortschr Röntgenstr

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Arterielle Zugangswege in der interventionellen Radiologie

Knapp

Stroszczyński

2008

Radiologe

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Transbrachial and transfemoral punctures are the conventional methods for accessing arteries in digital subtraction angiography (DSA). How to perform the punctures and how to use the different materials are elementary basics for diagnostic interventions in DSA, such as dilatating, stenting, coiling, implanting ports or chemical embolization. With both puncture methods different anatomic settings have to be considered and also experience with handling the surgical instruments has to be acquired. The management of complications and knowledge on the risk factors associated with each procedure are further requirements. An essential subject of studies is increasing the comfort for the patients by finding less invasive techniques in DSA.

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A Comparison of Clinical Outcomes with Regular- and Low-Profile Totally Implanted Central Venous Port Systems

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Streitparth

Cho

et al. 2008

Cardiovasc Intervent Radiol

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The purpose of this study was to evaluate whether low-profile totally implanted central venous port systems can reduce the late complication of skin perforation. Forty patients (age, 57 +/- 13 years; 22 females, 18 males) were randomized for the implantation of a low-profile port system, and another 40 patients (age, 61 +/- 14 years; 24 females, 16 males) received a regular port system as control group. Indications for port catheter implantation were malignant disease requiring chemotherapy. All port implantations were performed in the angiography suite using sonographically guided central venous puncture and fluoroscopic guidance of the catheter placement. Procedure time, number of complications (procedure-related immediate, early, and late complications), and number of explantations were assessed. Follow-up was performed for 6 months. All port implantations were successfully completed in both study groups. There were two incidents of skin perforation observed in the control group. One skin perforation occurred 13 weeks and the other 16 weeks after port implantation (incidence, 5%) in patients with regular-profile port systems. Two infections were observed, one port infection in each study group. Both infections were characterized as catheter-related infections (infection rate: 0.15 catheter-related infections per 1000 catheter days). In conclusion, low-profile port systems can be placed as safely as traditional chest ports and reduce the risk of developing skin perforations, which occurs when the port system is too tight within the port pocket.

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Die sonographisch gezielte Implantation von Portkathetersystemen über die laterale Vena subclavia

Cited by 14 publications

References 13 publications

Periinterventionelle prophylaktische Antibiotikagabe bei der radiologischen Portkatheterimplantation

Periinterventionelle prophylaktische Antibiotikagabe bei der radiologischen Portkatheterimplantation

Arterielle Zugangswege in der interventionellen Radiologie

A Comparison of Clinical Outcomes with Regular- and Low-Profile Totally Implanted Central Venous Port Systems

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