Department of Radiology, Charité University Hospital, Berlin, Germany.
Eur Radiol. 2011 Jun;21(6):1224-32. doi: 10.1007/s00330-010-2045-7. Epub 2011 Jan 5.
In this retrospective study the success and complication rates after radiologically guided port catheter implantation were evaluated.
Between 2000 and 2008, 3,160 port catheter systems were implanted in our interventional suite. All interventions were imaging guided. The puncture of the preferably right internal jugular vein (IJV) was ultrasound-assisted and the catheter tip position was controlled with fluoroscopy. Catheter indwelling time and rates of periprocedural, early and late complications were evaluated.
922,599 catheter days (mean, 292 days; range, 0-2,704 days) were documented. The implantation was successful in 3,153 (99.8%) cases. A total of 374 (11.8%; 0.41/1,000 catheter days) adverse events were recorded. Of these, 42 (1.33%) were periprocedural complications. 86 (3.3%; 0.09/1,000 catheter days) early and 246 (9.4%; 0.27/1,000 catheter days) late onset complications occurred after port implantation. The most common complications were blood stream infection (n = 134; 5.1%; 0.15/1,000 catheter days), catheter-induced venous thrombosis (n = 97; 3.7%; 0.11/1,000 catheter days) and catheter migration (n = 34; 1.3%; 0.04/1,000 catheter days). A total of 193 (6.1%) port explantations were required.
Ultrasound guided port implantation via the IJV results in low periprocedural complication rates.
在这项回顾性研究中，评估了放射引导下端口导管植入的成功率和并发症发生率。
在 2000 年至 2008 年间，我们的介入套房共植入了 3160 个端口导管系统。所有干预措施均为影像学引导。首选右侧颈内静脉（IJV）的穿刺采用超声辅助，导管尖端位置采用透视控制。评估导管留置时间以及围手术期、早期和晚期并发症的发生率。
记录了 922599 个导管日（平均 292 天；范围 0-2704 天）。3153 例（99.8%）植入成功。共记录了 374 例（11.8%；0.41/1000 导管日）不良事件。其中 42 例（1.33%）为围手术期并发症。86 例（3.3%；0.09/1000 导管日）和 246 例（9.4%；0.27/1000 导管日）发生在端口植入后早期和晚期并发症。最常见的并发症是血流感染（n=134；5.1%；0.15/1000 导管日）、导管引起的静脉血栓形成（n=97；3.7%；0.11/1000 导管日）和导管迁移（n=34；1.3%；0.04/1000 导管日）。共需要进行 193 例（6.1%）端口取出术。
经 IJV 超声引导的端口植入术可导致较低的围手术期并发症发生率。
