TITLE:
Ultrasound Guided Port-A-Cath Implantation
AUTHORS:
Hossein Hemmati, Mohammad Sadegh Esmaeli Delshad, Mohammad Reza Barzegar, Ali Babaei Jandaghi, Behruz Najafi, Mohammad Reza Asgary, Acieh Es-Haghi
KEYWORDS:
Ultrasound Guided, Port-A-Cath, Implantation
JOURNAL NAME:
Surgical Science,
Vol.5 No.4,
April
21,
2014
ABSTRACT: Purpose: The use of port
catheters is well accepted in the management of patients with malignancy. In this
study, we compare the technical success and the complication rates of
ultrasound guided Port-A-Cath implantation with doing this procedure by using
the anatomical landmark method. Methods: In a retrospective study, from 2006 to
2009, medical files of 104 patients who had undergone Port-A-Cath implantation
were reviewed. The indication for port catheter implantation was malignancy in
all cases. Among our patients, Port-A-Cath implantation
was done in 63 patients by using landmark method and in 41 patients by guidance
of ultrasound. All patients had been observed for complications
including pain, port infection, and port thrombus, thrombus of central veins,
skin necrosis, and success in using of Port-A-Cath for at least one month
following the procedure, in the vascular clinic. Results: in landmark method
group, 2 catheters were non-functional just after placement (3.2%)
while all Port-A-Caths in ultrasound-guided group were functional. Ten patients
(15.9%) in land mark group and 1 patient (2.4%) in ultrasound-guided group were
complicated. The difference between complication rate in
anatomic landmarks method and ultrasound-guided method was statistically
significant (p There was no significant
difference in two groups in duration of port placement (p