Image-guided chemoport insertion by interventional radiologists: A single-center experience on periprocedural complications
Purpose: To report our early experience in image-guided chemoport insertions by interventional radiologists. Materials and Methods: This was a cross-sectional study conducted in a tertiary center with 161 chemoport insertions done from June 2008 to June 2010. The chemoports were inserted either at t...
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| Format: | Article |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2013-04-01
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| Series: | Indian Journal of Radiology and Imaging |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/0971-3026.116543 |
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| author | Yazmin Yaacob Dang V Nguyen Zahiah Mohamed A Razali A Ralib Rozman Zakaria Sobri Muda |
| author_facet | Yazmin Yaacob Dang V Nguyen Zahiah Mohamed A Razali A Ralib Rozman Zakaria Sobri Muda |
| author_sort | Yazmin Yaacob |
| collection | DOAJ |
| description | Purpose: To report our early experience in image-guided chemoport insertions by interventional radiologists. Materials and Methods: This was a cross-sectional study conducted in a tertiary center with 161 chemoport insertions done from June 2008 to June 2010. The chemoports were inserted either at the angiography suite or at the mobile operation theater unit. Ninety percent of the chemoports had right internal jugular vein (IJV) as the entry site. Other entry sites included the left IJV, subclavian veins and the inferior vena cava. Immediate and early complications were recorded. All insertions were performed under image guidance with the aid of ultrasound and fluoroscopy. Results: The technical success rate was 99.4%. In terms of immediate complications, there were only two cases of arterial puncture that resolved with local compression. No pneumothorax or air embolism was documented. Twenty-six early complications were recorded. The most common early complication was catheter blockage (12/161; 7.4%), followed by catheter-related infection (9/161; 5.6%). Other complications were catheter malposition, venous thrombosis and catheter dislodgement or leak. A total of 11 (6.8%) chemoports had to be removed within 30 days; most of them were due to infections that failed to respond to systemic antibiotic therapy. In terms of place of procedure, there were no significant differences in complication rates between the angiography suite and the mobile operation theater unit. Conclusion: Image-guided chemoport insertion by interventional radiologist gives low periprocedural complication rates. Using right IJV as the entry site, the image guidance gives good success rate with least complication. |
| first_indexed | 2024-12-17T19:24:17Z |
| format | Article |
| id | doaj.art-35a3916210cd4ee58d5a82fb16ab90d0 |
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| language | English |
| last_indexed | 2024-12-17T19:24:17Z |
| publishDate | 2013-04-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
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| series | Indian Journal of Radiology and Imaging |
| spelling | doaj.art-35a3916210cd4ee58d5a82fb16ab90d02022-12-21T21:35:25ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Radiology and Imaging0971-30261998-38082013-04-01230212112510.4103/0971-3026.116543Image-guided chemoport insertion by interventional radiologists: A single-center experience on periprocedural complicationsYazmin Yaacob0Dang V Nguyen1Zahiah Mohamed2A Razali A Ralib3Rozman Zakaria4Sobri Muda5Department of Radiology, Interventional Radiologist and Clinical Lecturer, Universiti Kebangsaan Malaysia Medical Center (UKMMC)Clinical Fellow in Interventional Radiology, Universiti Kebangsaan Malaysia Medical Center (UKMMC)Interventional Radiologist and Clinical Lecturer, Universiti Kebangsaan Malaysia Medical Center (UKMMC)Interventional Radiologist and Clinical Lecturer of International Islamic University, KuantanInterventional Radiologist and Clinical Lecturer, Universiti Kebangsaan Malaysia Medical Center (UKMMC)Head of Endovascular and Interventional Unit, Department of Radiology, Universiti Kebangsaan Malaysia Medical Center (UKMMC)Purpose: To report our early experience in image-guided chemoport insertions by interventional radiologists. Materials and Methods: This was a cross-sectional study conducted in a tertiary center with 161 chemoport insertions done from June 2008 to June 2010. The chemoports were inserted either at the angiography suite or at the mobile operation theater unit. Ninety percent of the chemoports had right internal jugular vein (IJV) as the entry site. Other entry sites included the left IJV, subclavian veins and the inferior vena cava. Immediate and early complications were recorded. All insertions were performed under image guidance with the aid of ultrasound and fluoroscopy. Results: The technical success rate was 99.4%. In terms of immediate complications, there were only two cases of arterial puncture that resolved with local compression. No pneumothorax or air embolism was documented. Twenty-six early complications were recorded. The most common early complication was catheter blockage (12/161; 7.4%), followed by catheter-related infection (9/161; 5.6%). Other complications were catheter malposition, venous thrombosis and catheter dislodgement or leak. A total of 11 (6.8%) chemoports had to be removed within 30 days; most of them were due to infections that failed to respond to systemic antibiotic therapy. In terms of place of procedure, there were no significant differences in complication rates between the angiography suite and the mobile operation theater unit. Conclusion: Image-guided chemoport insertion by interventional radiologist gives low periprocedural complication rates. Using right IJV as the entry site, the image guidance gives good success rate with least complication.http://www.thieme-connect.de/DOI/DOI?10.4103/0971-3026.116543central venous catheterizationcomplicationsinterventional radiologyvascular access ports |
| spellingShingle | Yazmin Yaacob Dang V Nguyen Zahiah Mohamed A Razali A Ralib Rozman Zakaria Sobri Muda Image-guided chemoport insertion by interventional radiologists: A single-center experience on periprocedural complications Indian Journal of Radiology and Imaging central venous catheterization complications interventional radiology vascular access ports |
| title | Image-guided chemoport insertion by interventional radiologists: A single-center experience on periprocedural complications |
| title_full | Image-guided chemoport insertion by interventional radiologists: A single-center experience on periprocedural complications |
| title_fullStr | Image-guided chemoport insertion by interventional radiologists: A single-center experience on periprocedural complications |
| title_full_unstemmed | Image-guided chemoport insertion by interventional radiologists: A single-center experience on periprocedural complications |
| title_short | Image-guided chemoport insertion by interventional radiologists: A single-center experience on periprocedural complications |
| title_sort | image guided chemoport insertion by interventional radiologists a single center experience on periprocedural complications |
| topic | central venous catheterization complications interventional radiology vascular access ports |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/0971-3026.116543 |
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