Totally implantable chemoport device insertion technique
Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 1
Abstract
Subcutaneous chemoport placement is a preferred long term venous access for cancer chemotherapy. These totally implantable devices are plastic or metallic with silicon membrane which facilitates repeated intermittent venous access. We describe the percutaneous subclavian access and port placement. The procedure involves seldinger technique of vein access, followed by vessel dilator and introducer sheath advancement over the guide wire. The catheter is then advanced into the sheath; tip placed at atrio-caval junction and the distal end is tunneled to reach the port pocket which is created. Distal end of catheter is then appropriately cut, and fixed to the port stem and secured with catheter lock. Port is then fixed to the fascia underneath and the wound is sutured. Positioning and patency are checked during and at the end of procedure.
Authors and Affiliations
Harish K
Keywords
Related Articles
- EP ID EP190396
- DOI -
- Views 88
- Downloads 0
Varied presentation of orbital cysticercosis in children
Cysticercosis refers to human infection with the larval form of the nematode, Taenia solium due to the ingestion of contaminated food especially undercooked pork, contaminated water and vegetables. It is commonly seen in...
Changes in neck structure due to compression of neck in medicolegal autopsy – A retrospective study
Deaths due to compression of neck constitutes a major portion of unnatural deaths in day to day medico legal practice. The cases of such death, if analyzed are found to be either due to suicidal compression or homicidal...
Ultrasonographic evaluation of foetal sacral length measurement as a new parameter for assessment of gestational age
Aim: This study evaluates the prenatal ultrasonographic measurement of sacral length to assess the gestational age. Materials and Methods: In this prospective cross sectional study 100 cases of gestational age between 15...
Study of primary orbital implant after enucleation
Introduction: Enucleation means excision of the eye. The indications for the excision of an eye are intraocular malignant neoplasm’s; penetrating wounds with intraocular inflammation liable to cause damaged by injury so...
Observational study to evaluate the clinical presentation, management, complications and outcomes in patients with abdominal tuberculosis
Abdominal tuberculosis (AT) is one of the common extra-pulmonary tubercular infections. Its clinical presentation is protean and it has diagnostic dilemma, as most of the investigations are non-specific and less sensitiv...