The role of routine chest radiography after implantable venous access port catheter insertion under the guide of ultrasonography and fluoroscopy

Author:

Ghoddusi Johari Hamed,Saki Mohammad Reza,Erfani Amirhossein,Shahriarirad Reza,Ranjbar Keivan

Abstract

AbstractBackgroundThe objective of this study is the evaluation of routine chest radiography following the placement of Implantable venous access port catheter (IVAPC) central lines using combined ultrasound and fluoroscopic guidance by a vascular surgeon in the operating room.Material and methodA prospective study of 189 consecutive patients who underwent IVAPC central line insertion in the vascular surgery operating room from 2016 to 2019. Venipuncture was performed with an 18-gauge needle under the guidance of sonography in each case, and the access site was noted. The line position was confirmed by fluoroscopy following the procedure. Multiple tries for puncture and patients under 18 were excluded from our study. Routine radiography of chest was performed for all patients and pneumothorax, hemothorax, and catheter malposition were evaluated in each case.ResultsThere were 2 cases of asymptomatic pneumothorax, no cases of hemothorax, and all catheter tip positions were optimal or acceptable. The annual cost of chest radiography was 33,000,000IRR, 220 h of hospital and staff time, and 1.1 mSv radiation.ConclusionIn conclusion, when imaging guidance is used for IVAPC insertion by an experienced surgeon in a high-volume center, performing post-procedure routine chest radiography shows little benefit.

Publisher

Springer Science and Business Media LLC

Subject

Health Policy

Reference26 articles.

1. Kock HJ, Pietsch M, Krause U, Wilke H, Eigler FW. Implantable vascular access systems: experience in 1500 patients with totally implanted central venous port systems. World J Surg. 1998;22:12–6.

2. Freytes CO. Indications and complications of intravenous devices for chemotherapy. Curr Opin Oncol. 2000;12:303–7.

3. Libutti S, McDonald KH. Vascular access and specialised techniques of drug delivery. In: Cancer: principles and practice of oncology. Philadelphia: Lippincott-Raven; 2001. p. 760–9.

4. Bow EJ, Kilpatrick MG, Clinch JJ. Totally implantable venous access ports systems for patients receiving chemotherapy for solid tissue malignancies: a randomized controlled clinical trial examining the safety, efficacy, costs, and impact on quality of life. JoCO. 1999;17:1267.

5. Di Carlo I, Cordio S, La Greca G, Privitera G, Russello D, Puleo S, Latteri F. Totally implantable venous access devices implanted surgically: a retrospective study on early and late complications. Arch Surg. 2001;136(9):1050–3.

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