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
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