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Title: Percutaneous implantation of a Port-Catheter System using the left subclavian artery

Abstract

Purpose: To evaluate the safety and feasibility of a percutaneous Port-Catheter System (PCS) implanted via the subclavian artery (SCA) for regional chemotherapy or chemoembolization of thoracic, abdominal, and pelvic malignant tumors.Methods: Percutaneous puncture of the SCA was performed in 256 patients with thoracic, abdominal, or pelvic malignant tumors; then a catheter was inserted into the target artery. After the first transcatheter chemotherapy or chemoembolization with an emulsion of lipiodol and anticancer agents, an indwelling catheter was introduced with its tip placed in the target artery and its end subcutaneously connected to a port.Results: The procedure was successfully completed in all 256 cases (100%). The indwelling catheter tip was satisfactorily placed in the target arteries in 242 cases (98%). Complications attributable to the procedure occurred in 20 (7.8%) cases, including pneumothorax (n=10, 4%), hemothorax (n=1, 0.4%), infections in the pocket (n=4, 1.6%), and hematoma at the puncture site (n=5, 2%). There were no severe sequelae or deaths. The duration of PCS usage was 1-36 months (median 9.5 months), During the course of treatment, occlusion of the target artery occurred in 20 cases (7.8%). Dislocation of the tip of the indwelling catheter occurred in 12 cases (4.7%); in 10 of the 12,more » the tip of the indwelling catheter was repositioned into the target artery. In all 10 cases no large symptomatic hematomas developed after the PCS was removed.Conclusion: Percutaneous PCS implantation via the left SCA, a relatively new procedure, is a safe and less invasive treatment approach than surgical placement for malignancies.« less

Authors:
; ; ; ; ; ;  [1]
  1. Nanfang Hospital, Department of Radiology (China)
Publication Date:
OSTI Identifier:
21413163
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 23; Journal Issue: 1; Other Information: DOI: 10.1007/s002709910004; Copyright (c) 2000 Springer-Verlag; Article Copyright (c) 2000 Springer-Verlag New York, Inc; Journal ID: ISSN 0174-1551
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ABDOMEN; ARTERIES; CHEMOTHERAPY; CHEST; NEOPLASMS; PELVIS; TUBES; BLOOD VESSELS; BODY; CARDIOVASCULAR SYSTEM; DISEASES; MEDICINE; ORGANS; THERAPY

Citation Formats

Yong, Chen, Xiaofeng, He, Weiguo, Chen, Wei, Lu, Quelin, Mei, Qingle, Zeng, and Yanhao, Li. Percutaneous implantation of a Port-Catheter System using the left subclavian artery. United States: N. p., 2000. Web. doi:10.1007/S002709910004.
Yong, Chen, Xiaofeng, He, Weiguo, Chen, Wei, Lu, Quelin, Mei, Qingle, Zeng, & Yanhao, Li. Percutaneous implantation of a Port-Catheter System using the left subclavian artery. United States. https://doi.org/10.1007/S002709910004
Yong, Chen, Xiaofeng, He, Weiguo, Chen, Wei, Lu, Quelin, Mei, Qingle, Zeng, and Yanhao, Li. 2000. "Percutaneous implantation of a Port-Catheter System using the left subclavian artery". United States. https://doi.org/10.1007/S002709910004.
@article{osti_21413163,
title = {Percutaneous implantation of a Port-Catheter System using the left subclavian artery},
author = {Yong, Chen and Xiaofeng, He and Weiguo, Chen and Wei, Lu and Quelin, Mei and Qingle, Zeng and Yanhao, Li},
abstractNote = {Purpose: To evaluate the safety and feasibility of a percutaneous Port-Catheter System (PCS) implanted via the subclavian artery (SCA) for regional chemotherapy or chemoembolization of thoracic, abdominal, and pelvic malignant tumors.Methods: Percutaneous puncture of the SCA was performed in 256 patients with thoracic, abdominal, or pelvic malignant tumors; then a catheter was inserted into the target artery. After the first transcatheter chemotherapy or chemoembolization with an emulsion of lipiodol and anticancer agents, an indwelling catheter was introduced with its tip placed in the target artery and its end subcutaneously connected to a port.Results: The procedure was successfully completed in all 256 cases (100%). The indwelling catheter tip was satisfactorily placed in the target arteries in 242 cases (98%). Complications attributable to the procedure occurred in 20 (7.8%) cases, including pneumothorax (n=10, 4%), hemothorax (n=1, 0.4%), infections in the pocket (n=4, 1.6%), and hematoma at the puncture site (n=5, 2%). There were no severe sequelae or deaths. The duration of PCS usage was 1-36 months (median 9.5 months), During the course of treatment, occlusion of the target artery occurred in 20 cases (7.8%). Dislocation of the tip of the indwelling catheter occurred in 12 cases (4.7%); in 10 of the 12, the tip of the indwelling catheter was repositioned into the target artery. In all 10 cases no large symptomatic hematomas developed after the PCS was removed.Conclusion: Percutaneous PCS implantation via the left SCA, a relatively new procedure, is a safe and less invasive treatment approach than surgical placement for malignancies.},
doi = {10.1007/S002709910004},
url = {https://www.osti.gov/biblio/21413163}, journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 1,
volume = 23,
place = {United States},
year = {Sat Jan 15 00:00:00 EST 2000},
month = {Sat Jan 15 00:00:00 EST 2000}
}