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Die transjuguläre Implantation venöser Portkathetersysteme

2003; Thieme Medical Publishers (Germany); Volume: 175; Issue: 11 Linguagem: Inglês

10.1055/s-2003-43406

1438-9029

Hans‐Joachim Wagner, Ulf Teichgräber, Bernhard Gebauer, Marc Kalinowski,

Chemotherapy-related skin toxicity

Prospective analysis of success and complication rates of chest port implantation via the internal jugular vein.In 50 consecutive patients (25 men, 25 women; mean age 61 +/- 14 years) the internal jugular vein was punctured under ultrasound guidance. Through this access, a port system was inserted and the catheter tip was placed at the cavoatrial junction. The port reservoir was implanted into a subcutaneous infraclavicular pocket and fixed to the fascia of the pectoralis muscle. Indications for port implantation were chemotherapy (n = 46), total parenteral nutrition (n = 2) or intravenous medication (n = 2).A chest port catheter system was successfully implanted in all 50 patients. The mean duration of placement was 90 +/- 65 catheter days. No complications occurred during implantation. In the post-interventional period a single catheter dysfunction occurred (0.22 per 1,000 catheter days). Two local infections occurred in the early post-interventional period (0.43 per 1,000 catheter days). One port system had to be explanted prematurely due to pain.The ultrasound guided puncture of the internal jugular vein enables a safe access for insertion of a central venous port catheter system and is associated with a very low complication rate. Port placement via this access vein should therefore be the primary treatment.