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- Title
“Single Incision, Double Pocket Technique” to Facilitate Implantable Chest Port Placement- Case Series.
- Authors
KARAASLAN, Kazım; TOPUZ, Ufuk; UMUTOĞLU, Tarık; BAKAN, Mefkür; ÖZTÜRK, Erdoğan
- Abstract
Introduction: Implantable chest ports (ICP) are implanted for central venous access to infuse mostly chemotherapy drugs and other medications. Here, we describe a new modification for single incision technique that facilitates the catheter-reservoir connection despite limited manipulation area. Additionally this modification decreases the possibility of catheter kinking rates. Material and Method: In this retrospective study we investigated patients who underwent ICP implantation for chemotherapy. Two pockets were made over and under a single incision. Catheter was cut into appropriate length and connected with reservoir at outside. Intravenous catheter placement was accomplished via peel- away sheath when reservoir was positioned at the upper pocket. Then reservoir was moved to lower pocket and fixated with previously placed sutures. This report describes an easy method of catheter-port connection and reservoir implantation with the upper pocket which we combined with the single incision technique. Results: Two hundred and fifty- six patients who underwent ICP placement were evaluated. All procedures were uneventful and no procedure related complications like hematoma, pneumothorax, or primary malposition were observed. We didn't observe kinking or port migration with this modification including ICP's followed up for at least 6 months or longer except a ‘pinch-off' and a port dysfunction due to an incorrect use. Seven of our patients were suffered from port infection and ICP's were removed. Discussion and Conclusion: This double pocket technique facilitates manipulations and has no kinking at the puncture and reservoir connection sites during implantation and minimal port dysfunction rates in longterm follow- up. Further studies needed to evaluate the advantages of this technique.
- Subjects
DRUG therapy; CATHETERS; THERAPEUTICS; DRUG administration; DRUG delivery devices
- Publication
Journal of the Society of Thoracic Carido-Vascular Anaesthesia & Intensive Care, 2015, Vol 21, Issue 3, p152
- ISSN
1305-5550
- Publication type
Article
- DOI
10.5222/GKDAD.2015.152