Image Guided Chemoport Placement–––Changing times: a single interventional radiology centre perspective.

Dr Samaresh Sahu; Dr Aneesh Mohimen

Volume : VIII, Issue : IX, September - 2018

Image Guided Chemoport Placement–––Changing times: a single interventional radiology centre perspective.

Dr Samaresh Sahu, Dr Aneesh Mohimen

Abstract :

Introduction:

Safe vascular access is integral to critical procedures.Chemoport implantation is a type of central venous access that was exclusively in the domain of surgeons till few years ago. However interventional radiology (IR) taking shape in our country more and more central venous access procedure is being done by radiologists and the results are almost equal or better.

Aim:

To evaluate the technical success and outcomes of image guided percutaneous chemoport placement at a tertiary care centre.

Objectives:

1. To evaluate the technical success rate of the percutaneous placement of chemoports while using image guidance in a tertiary care centre.

2. To assess the intraprocedure, early & late complications of chemoport placement in these patients.

Material & Method:

This prospective study was conducted on 28 subjects at a tertiary care hospital from Jul 16 to Dec 17 as per laid down inclusion and exclusion criteria. All patients were counselled prior to the procedure. Patients were taken up for chemoport placement under 2% Local anaesthesia. Ultrasonography was used as initial modality to access the IJV. Further procedure was done under fluoroscopy guidance.

The patients were observed for intraoperative, early and delayed complications as per SIR guidelines.

Result:

Total of 28 patients (Male=10 & Female=18) were included in the study. The technical success was achieved in 100% of cases. Per operative complication was recorded in one case (3.5%). No early or delayed complication noted.

Conclusion:

Image guided chemoport placement is safe and has a high technical success rate.