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Title: The Monorail Technique to Overcome Difficult Anatomical Course During Implantation of Central Venous Port via the Left Internal Jugular Vein

Abstract

PurposeThe study aimed to introduce a monorail technique to overcome difficult anatomical course via left internal jugular vein in implantable port insertion.MethodsFrom 2007 to 2016, a total of 9346 patients were referred for implantable port insertion in our interventional unit, among which 79 cases were requested to insert on the left side. Our monorail technique was applied only when the technical challenge of the catheter tip entering the azygos vein instead of the superior vena cava occurred (n = 7). The technique consists of puncturing at the distal tip of the port catheter with a 21-gauge micropuncture needle and advancing a 0.018-in. hair-wire to guide and provide support for pre-assembled port.ResultsThe monorail technique was performed in seven patients and all but one case were technically successful, showing a technical success rate of 85.7%. There were no immediate or delayed complications.ConclusionsThe monorail technique is helpful to overcome the difficult anatomical course via left internal jugular vein in implantable port insertion.

Authors:
; ; ; ;  [1]
  1. The Catholic University of Korea, Department of Radiology, Seoul St. Mary’s Hospital (Korea, Republic of)
Publication Date:
OSTI Identifier:
22645304
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 40; Journal Issue: 3; Other Information: Copyright (c) 2017 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0174-1551
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; HAIR; MONORAILS; PATIENTS; VASCULAR DISEASES; VEINS

Citation Formats

Kim, Eu Hyun, E-mail: doorihyun6@gmail.com, Oh, Jung Suk, Chun, Ho Jong, Lee, Hae Giu, and Choi, Byung Gil, E-mail: cbg@catholic.ac.kr. The Monorail Technique to Overcome Difficult Anatomical Course During Implantation of Central Venous Port via the Left Internal Jugular Vein. United States: N. p., 2017. Web. doi:10.1007/S00270-016-1519-7.
Kim, Eu Hyun, E-mail: doorihyun6@gmail.com, Oh, Jung Suk, Chun, Ho Jong, Lee, Hae Giu, & Choi, Byung Gil, E-mail: cbg@catholic.ac.kr. The Monorail Technique to Overcome Difficult Anatomical Course During Implantation of Central Venous Port via the Left Internal Jugular Vein. United States. doi:10.1007/S00270-016-1519-7.
Kim, Eu Hyun, E-mail: doorihyun6@gmail.com, Oh, Jung Suk, Chun, Ho Jong, Lee, Hae Giu, and Choi, Byung Gil, E-mail: cbg@catholic.ac.kr. Wed . "The Monorail Technique to Overcome Difficult Anatomical Course During Implantation of Central Venous Port via the Left Internal Jugular Vein". United States. doi:10.1007/S00270-016-1519-7.
@article{osti_22645304,
title = {The Monorail Technique to Overcome Difficult Anatomical Course During Implantation of Central Venous Port via the Left Internal Jugular Vein},
author = {Kim, Eu Hyun, E-mail: doorihyun6@gmail.com and Oh, Jung Suk and Chun, Ho Jong and Lee, Hae Giu and Choi, Byung Gil, E-mail: cbg@catholic.ac.kr},
abstractNote = {PurposeThe study aimed to introduce a monorail technique to overcome difficult anatomical course via left internal jugular vein in implantable port insertion.MethodsFrom 2007 to 2016, a total of 9346 patients were referred for implantable port insertion in our interventional unit, among which 79 cases were requested to insert on the left side. Our monorail technique was applied only when the technical challenge of the catheter tip entering the azygos vein instead of the superior vena cava occurred (n = 7). The technique consists of puncturing at the distal tip of the port catheter with a 21-gauge micropuncture needle and advancing a 0.018-in. hair-wire to guide and provide support for pre-assembled port.ResultsThe monorail technique was performed in seven patients and all but one case were technically successful, showing a technical success rate of 85.7%. There were no immediate or delayed complications.ConclusionsThe monorail technique is helpful to overcome the difficult anatomical course via left internal jugular vein in implantable port insertion.},
doi = {10.1007/S00270-016-1519-7},
journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 3,
volume = 40,
place = {United States},
year = {2017},
month = {3}
}