Power contrast injections through a totally implantable venous power port: A retrospective multicenter study

Abstract

Objectives To evaluate the feasibility and safety of power injection of contrast media through totally implantable venous power ports during computed tomography scans in oncologic patients. Methods The study population consisted of 417 patients who underwent computed tomography scan through a totally implantable venous power port. Clinical data were examined. Logistic regression analysis was used to assess the associations between clinical covariables and computed tomography scan failure. Results Successful computed tomography scans were achieved in 534 of 540 examinations (98.9%). Logistic regression analysis showed that contrast media above a 350 concentration was significantly associated with computed tomography scan failure (95% confidence interval: 1.01–1.13, p = 0.012). No major complications were noted. Conclusions Power injection of contrast media through a totally implantable venous power port for computed tomography examination is feasible and safe. This procedure provides an acceptable alternative in oncologic patients with inadequate peripheral intravenous access when computed tomography examination with contrast enhancement is needed.

Letter to the editor regarding “Power contrast injections through a totally implantable venous power port: a retrospective multicenter study” by Son et al.

“…I read with interest the article by Son et al. 1 which investigates the compatibility of totally implantable venous power ports (TIVPPs) with high pressure contrast injections, typically when contrast-enhanced computed tomography (CE-CT) scans are undertaken. Besides the oncology patients highlighted by the authors, an additional group that needs devices are a typically younger group with chronic infection lung conditions, for example, that need repeated antibiotic therapy.…”