A single-incision technique for placement of implantable venous access ports via the axillary vein

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9 Citations (Scopus)

Abstract

Purpose To evaluate the technical feasibility and safety of a single-incision technique for placement of implantable venous access ports via the axillary vein. Materials and Methods Ports were placed in 216 patients between May and October 2012 using a single-incision technique via the axillary vein. Patients included 112 men and 104 women with a mean age of 58.2 years. After making a single vertical incision without subcutaneous tunneling, ports were placed via the left axillary vein in 172 patients and via the right axillary vein in 44 patients. Axillary vein punctures were directed medially at the incision site under ultrasound guidance. We retrospectively reviewed success rates, technical difficulties, procedure times, and immediate and delayed complications of the procedure. Results All single-incision port placements were technically successful. Technical difficulties occurring during the procedure included advancement of the wire or catheter into an unintended vein (n = 33), kinking at the cuff-catheter junction (n = 13), bleeding via the puncture tract (n = 5), bending of the peel-away sheath (n = 3), and puncture of the axillary artery (n = 3). All technical problems were overcome with additional manipulation. The only immediate complication was puncture site hematoma in two patients. The mean follow-up period was 165.7 days, and there were no reports of port malfunction. Axillary vein thrombosis was observed in one patient. Conclusions The single-incision technique for placing ports via the axillary vein was a feasible and safe procedure with high technical success and low risk of complications.

Original languageEnglish
Pages (from-to)1439-1446
Number of pages8
JournalJournal of Vascular and Interventional Radiology
Volume25
Issue number9
DOIs
Publication statusPublished - 2014 Jan 1

Fingerprint

Axillary Vein
Punctures
Catheters
Axillary Artery
Patient Rights
Hematoma
Veins
Thrombosis
Hemorrhage
Safety

Keywords

  • Abbreviations
  • IJV
  • internal jugular vein
  • SCV
  • subclavian vein
  • superior vena cava
  • SVC

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

@article{5b312ea24ac54502a0f44024f78e1024,
title = "A single-incision technique for placement of implantable venous access ports via the axillary vein",
abstract = "Purpose To evaluate the technical feasibility and safety of a single-incision technique for placement of implantable venous access ports via the axillary vein. Materials and Methods Ports were placed in 216 patients between May and October 2012 using a single-incision technique via the axillary vein. Patients included 112 men and 104 women with a mean age of 58.2 years. After making a single vertical incision without subcutaneous tunneling, ports were placed via the left axillary vein in 172 patients and via the right axillary vein in 44 patients. Axillary vein punctures were directed medially at the incision site under ultrasound guidance. We retrospectively reviewed success rates, technical difficulties, procedure times, and immediate and delayed complications of the procedure. Results All single-incision port placements were technically successful. Technical difficulties occurring during the procedure included advancement of the wire or catheter into an unintended vein (n = 33), kinking at the cuff-catheter junction (n = 13), bleeding via the puncture tract (n = 5), bending of the peel-away sheath (n = 3), and puncture of the axillary artery (n = 3). All technical problems were overcome with additional manipulation. The only immediate complication was puncture site hematoma in two patients. The mean follow-up period was 165.7 days, and there were no reports of port malfunction. Axillary vein thrombosis was observed in one patient. Conclusions The single-incision technique for placing ports via the axillary vein was a feasible and safe procedure with high technical success and low risk of complications.",
keywords = "Abbreviations, IJV, internal jugular vein, SCV, subclavian vein, superior vena cava, SVC",
author = "Tae-Seok Seo and Song, {Myung Gyu} and Eun-Young Kang and Chang-Hee Lee and Hwan-Seok Yong and Kyungwon Doo",
year = "2014",
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doi = "10.1016/j.jvir.2013.12.571",
language = "English",
volume = "25",
pages = "1439--1446",
journal = "Journal of Vascular and Interventional Radiology",
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TY - JOUR

T1 - A single-incision technique for placement of implantable venous access ports via the axillary vein

AU - Seo, Tae-Seok

AU - Song, Myung Gyu

AU - Kang, Eun-Young

AU - Lee, Chang-Hee

AU - Yong, Hwan-Seok

AU - Doo, Kyungwon

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Purpose To evaluate the technical feasibility and safety of a single-incision technique for placement of implantable venous access ports via the axillary vein. Materials and Methods Ports were placed in 216 patients between May and October 2012 using a single-incision technique via the axillary vein. Patients included 112 men and 104 women with a mean age of 58.2 years. After making a single vertical incision without subcutaneous tunneling, ports were placed via the left axillary vein in 172 patients and via the right axillary vein in 44 patients. Axillary vein punctures were directed medially at the incision site under ultrasound guidance. We retrospectively reviewed success rates, technical difficulties, procedure times, and immediate and delayed complications of the procedure. Results All single-incision port placements were technically successful. Technical difficulties occurring during the procedure included advancement of the wire or catheter into an unintended vein (n = 33), kinking at the cuff-catheter junction (n = 13), bleeding via the puncture tract (n = 5), bending of the peel-away sheath (n = 3), and puncture of the axillary artery (n = 3). All technical problems were overcome with additional manipulation. The only immediate complication was puncture site hematoma in two patients. The mean follow-up period was 165.7 days, and there were no reports of port malfunction. Axillary vein thrombosis was observed in one patient. Conclusions The single-incision technique for placing ports via the axillary vein was a feasible and safe procedure with high technical success and low risk of complications.

AB - Purpose To evaluate the technical feasibility and safety of a single-incision technique for placement of implantable venous access ports via the axillary vein. Materials and Methods Ports were placed in 216 patients between May and October 2012 using a single-incision technique via the axillary vein. Patients included 112 men and 104 women with a mean age of 58.2 years. After making a single vertical incision without subcutaneous tunneling, ports were placed via the left axillary vein in 172 patients and via the right axillary vein in 44 patients. Axillary vein punctures were directed medially at the incision site under ultrasound guidance. We retrospectively reviewed success rates, technical difficulties, procedure times, and immediate and delayed complications of the procedure. Results All single-incision port placements were technically successful. Technical difficulties occurring during the procedure included advancement of the wire or catheter into an unintended vein (n = 33), kinking at the cuff-catheter junction (n = 13), bleeding via the puncture tract (n = 5), bending of the peel-away sheath (n = 3), and puncture of the axillary artery (n = 3). All technical problems were overcome with additional manipulation. The only immediate complication was puncture site hematoma in two patients. The mean follow-up period was 165.7 days, and there were no reports of port malfunction. Axillary vein thrombosis was observed in one patient. Conclusions The single-incision technique for placing ports via the axillary vein was a feasible and safe procedure with high technical success and low risk of complications.

KW - Abbreviations

KW - IJV

KW - internal jugular vein

KW - SCV

KW - subclavian vein

KW - superior vena cava

KW - SVC

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U2 - 10.1016/j.jvir.2013.12.571

DO - 10.1016/j.jvir.2013.12.571

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JO - Journal of Vascular and Interventional Radiology

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SN - 1051-0443

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