Ultrasound-guided port-a-cath positioning with the new one-shoot technique: thoracic complications

doi: 10.7417/CT.2018.2093

  • M. Cajozzo Department of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo
  • V. D. Palumbo Department of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo - Euro-Mediterranean Institute of Science and Technology (IEMEST), Palermo
  • V. Mannino Department of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo
  • G. Geraci Department of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo
  • A. I. Lo Monte Department of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo
  • F. P. Caronia Mediterranean Oncological Institute (IOM), Viagrande, Italy
  • F. Fatica Department of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo
  • G. Romano Department of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo
  • V. Puzhlyakov Department of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo
  • R. D’Anna Department of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo
  • G. Cocchiara Department of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo

Abstract

Objectives
Port-a-cath catheterization is often required for those patients who need long-term therapies (malnutrition, neoplasm, renal failure, other severe diseases). The use of ports for a wide range of indications is not exempt from complications. Ultrasound-guided central venous catheterization (CVC) is a safe and fast technique for the introduction of the catheter inside a central vein. This retrospective study reports our experience with US-guided CVC in patient eligible for port-a-cath implantation.


Materials and methods
From January 2007 to March 2017, 108 CVC (out of 770 procedures), were positioned using an ultrasound guide, with the new “one-shoot technique” (group 1) and the classic Seldinger technique (group 2),


Results
One-shoot techniques showed a reduced operative time, in comparison to Seldinger technique, with a negligible minor complication rate. No major complication were evidenced.


Conclusions
CVC is a safe procedure, although not free from complications. Ultrasonography enhances safety of the procedure by decreasing puncture attempts and complications; it is helpful in patients with vascular anatomical variations, with no visualized or palpable landmarks or for patients with coagulation disorders

Published
2018-12-12
How to Cite
CAJOZZO, M. et al. Ultrasound-guided port-a-cath positioning with the new one-shoot technique: thoracic complications. La Clinica Terapeutica, [S.l.], v. 169, n. 6, p. e277 - e280, dec. 2018. ISSN 1972-6007. Available at: <http://www.clinicaterapeutica.it/ojs/index.php/ClinicaTerapeutica/article/view/286>. Date accessed: 20 jan. 2019.