Elimination of pneumothorax and hemothorax during placement of implantable venous access ports using ultrasound and fluoroscopic guidance

Grant T. Fankhauser, Richard J. Fowl, William M. Stone, Samuel R. Money

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Implantable venous access ports are essential for patients requiring chronic venous access. Ultrasound guided catheter placement has been recognized as a valuable adjunct for reducing complications during placement of access ports in the radiology and critical care medicine literature. We reviewed the medical records of patients undergoing insertion of implantable venous access ports from June 2006 through June 2009. All procedures were performed using ultrasound guidance with the internal jugular vein as the access site. There were 500 implantable venous access ports placed and included for review. There were no post-procedure pneumothoraces or hemothoraces. Carotid puncture was documented in 4 (0.8%)cases. Routine use of ultrasound guidance during placement of implantable venous access ports has eliminated the complications of pneumothorax and hemothorax during placement of internal jugular venous access ports on our vascular surgery service. Elimination of these complications and decreased use of chest x-rays should also provide increased cost savings for this procedure.

Original languageEnglish (US)
Pages (from-to)345-348
Number of pages4
JournalVascular
Volume21
Issue number6
DOIs
StatePublished - Dec 2013
Externally publishedYes

Keywords

  • hemothorax
  • pneumothorax
  • port
  • ultrasound-guidance
  • venous access

ASJC Scopus subject areas

  • Surgery
  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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