Peripheral Insertion of a Central Venous Access Device Under Fluoroscopic Guidance Using a Peripherally Accessed System (PAS) Port in the Forearm
- Department of Radiology, Kochi Municipal Central Hospital, 2-7-33 Sakurai-cho, Kochi-city 780 (Japan)
- Department of Gastroenterology, Kochi Municipal Central Hospital, 2-7-33 Sakurai-cho, Kochi-city 780 (Japan)
- Department of Surgery, Kochi Municipal Central Hospital, 2-7-33 Sakurai-cho, Kochi-city 780 (Japan)
- Department of Radiology, Hyogo Medical Center for Adults, 13-70 Kitaouji-cho, Akashi-city, Hyogo 673 (Japan)
Purpose: We describe the technique, efficacy, and complications of fluoroscopy-guided implantation of a central venous access device using a peripherally accessed system (PAS) port via the forearm. Methods: Beginning in July 1994, 105 central venous access devices were implanted in 104 patients for the long-term infusion of antibiotics or antineoplasmic agents, blood products, or parenteral nutrition. The devices was inserted under fluoroscopic guidance with real-time venography from a peripheral route. Results: All ports were successfully implanted. There were no procedure-related complications. No thrombosis or local infection was observed; however, in six patients catheter-related phlebitis occurred. Conclusion: Fluoroscopy-guided implantation of a central venous access device using a PAS port via the forearm is safe and efficacious, and injection of contrast medium through a peripheral IV catheter before introduction of the catheter helps to avoid catheter-related phlebitis.
- OSTI ID:
- 21080415
- Journal Information:
- Cardiovascular and Interventional Radiology, Vol. 21, Issue 3; Other Information: DOI: 10.1007/s002709900250; Copyright (c) 1996 Springer-Verlag New York Inc; Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
- Country of Publication:
- United States
- Language:
- English
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