Intraperitoneal catheters: percutaneous placement with fluoroscopic guidance.

I. R. Kirk, C. H. Carrasco, D. D. Lawrence, V. P. Chuang, W. R. Richli, C. Charnsangavej, J. J. Kavanagh, A. P. Kudelka, R. S. Freedman, Avi Markowitz

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

PURPOSE: The authors reviewed their experience with percutaneous placement of catheters into the peritoneal cavity for the administration of intraperitoneal chemotherapy to determine if their approach resulted in a lower complication rate than the reported 12%-16% rate and to demonstrate the technical advantages over surgically placed catheters. PATIENTS AND METHODS: Seventy-six patients with gastrointestinal or gynecologic malignancies underwent 152 procedures during a 20-month period. The catheters were used to deliver antineoplastic agents and, in some patients, to drain ascites. Catheter insertion was performed with local anesthesia and a modified Seldinger technique. A 5-F catheter was used in 89% of procedures; in the remainder, the catheter was of a larger caliber. RESULTS: The procedure was successful in 145 (95%) instances and failed in seven (5%) attempts because of peritoneal adhesions. The catheters remained in place for less than 2 days in 56%, 2-10 days in 25%, and more than 10 days in 19% of patients. One catheter remained in place for 15 weeks. Complications occurred in seven procedures (5%). Four cases of mild peritonitis responded to a brief course of intravenously administered antibiotics, and severe pain in two patients required premature catheter removal. A single case of inadvertent transcolonic catheter placement occurred without adverse sequelae to the patient. CONCLUSIONS: Intraperitoneal catheterization can be performed with local anesthesia by using a simple technique with a very low complication rate. The catheters can remain in place for prolonged periods without significant risks.

Original languageEnglish (US)
Pages (from-to)299-304
Number of pages6
JournalJournal of vascular and interventional radiology : JVIR
Volume4
Issue number2
StatePublished - Mar 1993
Externally publishedYes

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Catheters
Local Anesthesia
Peritoneal Cavity
Peritonitis
Ascites
Catheterization
Antineoplastic Agents
Anti-Bacterial Agents
Drug Therapy
Pain

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Kirk, I. R., Carrasco, C. H., Lawrence, D. D., Chuang, V. P., Richli, W. R., Charnsangavej, C., ... Markowitz, A. (1993). Intraperitoneal catheters: percutaneous placement with fluoroscopic guidance. Journal of vascular and interventional radiology : JVIR, 4(2), 299-304.

Intraperitoneal catheters : percutaneous placement with fluoroscopic guidance. / Kirk, I. R.; Carrasco, C. H.; Lawrence, D. D.; Chuang, V. P.; Richli, W. R.; Charnsangavej, C.; Kavanagh, J. J.; Kudelka, A. P.; Freedman, R. S.; Markowitz, Avi.

In: Journal of vascular and interventional radiology : JVIR, Vol. 4, No. 2, 03.1993, p. 299-304.

Research output: Contribution to journalArticle

Kirk, IR, Carrasco, CH, Lawrence, DD, Chuang, VP, Richli, WR, Charnsangavej, C, Kavanagh, JJ, Kudelka, AP, Freedman, RS & Markowitz, A 1993, 'Intraperitoneal catheters: percutaneous placement with fluoroscopic guidance.', Journal of vascular and interventional radiology : JVIR, vol. 4, no. 2, pp. 299-304.
Kirk IR, Carrasco CH, Lawrence DD, Chuang VP, Richli WR, Charnsangavej C et al. Intraperitoneal catheters: percutaneous placement with fluoroscopic guidance. Journal of vascular and interventional radiology : JVIR. 1993 Mar;4(2):299-304.
Kirk, I. R. ; Carrasco, C. H. ; Lawrence, D. D. ; Chuang, V. P. ; Richli, W. R. ; Charnsangavej, C. ; Kavanagh, J. J. ; Kudelka, A. P. ; Freedman, R. S. ; Markowitz, Avi. / Intraperitoneal catheters : percutaneous placement with fluoroscopic guidance. In: Journal of vascular and interventional radiology : JVIR. 1993 ; Vol. 4, No. 2. pp. 299-304.
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abstract = "PURPOSE: The authors reviewed their experience with percutaneous placement of catheters into the peritoneal cavity for the administration of intraperitoneal chemotherapy to determine if their approach resulted in a lower complication rate than the reported 12{\%}-16{\%} rate and to demonstrate the technical advantages over surgically placed catheters. PATIENTS AND METHODS: Seventy-six patients with gastrointestinal or gynecologic malignancies underwent 152 procedures during a 20-month period. The catheters were used to deliver antineoplastic agents and, in some patients, to drain ascites. Catheter insertion was performed with local anesthesia and a modified Seldinger technique. A 5-F catheter was used in 89{\%} of procedures; in the remainder, the catheter was of a larger caliber. RESULTS: The procedure was successful in 145 (95{\%}) instances and failed in seven (5{\%}) attempts because of peritoneal adhesions. The catheters remained in place for less than 2 days in 56{\%}, 2-10 days in 25{\%}, and more than 10 days in 19{\%} of patients. One catheter remained in place for 15 weeks. Complications occurred in seven procedures (5{\%}). Four cases of mild peritonitis responded to a brief course of intravenously administered antibiotics, and severe pain in two patients required premature catheter removal. A single case of inadvertent transcolonic catheter placement occurred without adverse sequelae to the patient. CONCLUSIONS: Intraperitoneal catheterization can be performed with local anesthesia by using a simple technique with a very low complication rate. The catheters can remain in place for prolonged periods without significant risks.",
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AU - Kirk, I. R.

AU - Carrasco, C. H.

AU - Lawrence, D. D.

AU - Chuang, V. P.

AU - Richli, W. R.

AU - Charnsangavej, C.

AU - Kavanagh, J. J.

AU - Kudelka, A. P.

AU - Freedman, R. S.

AU - Markowitz, Avi

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N2 - PURPOSE: The authors reviewed their experience with percutaneous placement of catheters into the peritoneal cavity for the administration of intraperitoneal chemotherapy to determine if their approach resulted in a lower complication rate than the reported 12%-16% rate and to demonstrate the technical advantages over surgically placed catheters. PATIENTS AND METHODS: Seventy-six patients with gastrointestinal or gynecologic malignancies underwent 152 procedures during a 20-month period. The catheters were used to deliver antineoplastic agents and, in some patients, to drain ascites. Catheter insertion was performed with local anesthesia and a modified Seldinger technique. A 5-F catheter was used in 89% of procedures; in the remainder, the catheter was of a larger caliber. RESULTS: The procedure was successful in 145 (95%) instances and failed in seven (5%) attempts because of peritoneal adhesions. The catheters remained in place for less than 2 days in 56%, 2-10 days in 25%, and more than 10 days in 19% of patients. One catheter remained in place for 15 weeks. Complications occurred in seven procedures (5%). Four cases of mild peritonitis responded to a brief course of intravenously administered antibiotics, and severe pain in two patients required premature catheter removal. A single case of inadvertent transcolonic catheter placement occurred without adverse sequelae to the patient. CONCLUSIONS: Intraperitoneal catheterization can be performed with local anesthesia by using a simple technique with a very low complication rate. The catheters can remain in place for prolonged periods without significant risks.

AB - PURPOSE: The authors reviewed their experience with percutaneous placement of catheters into the peritoneal cavity for the administration of intraperitoneal chemotherapy to determine if their approach resulted in a lower complication rate than the reported 12%-16% rate and to demonstrate the technical advantages over surgically placed catheters. PATIENTS AND METHODS: Seventy-six patients with gastrointestinal or gynecologic malignancies underwent 152 procedures during a 20-month period. The catheters were used to deliver antineoplastic agents and, in some patients, to drain ascites. Catheter insertion was performed with local anesthesia and a modified Seldinger technique. A 5-F catheter was used in 89% of procedures; in the remainder, the catheter was of a larger caliber. RESULTS: The procedure was successful in 145 (95%) instances and failed in seven (5%) attempts because of peritoneal adhesions. The catheters remained in place for less than 2 days in 56%, 2-10 days in 25%, and more than 10 days in 19% of patients. One catheter remained in place for 15 weeks. Complications occurred in seven procedures (5%). Four cases of mild peritonitis responded to a brief course of intravenously administered antibiotics, and severe pain in two patients required premature catheter removal. A single case of inadvertent transcolonic catheter placement occurred without adverse sequelae to the patient. CONCLUSIONS: Intraperitoneal catheterization can be performed with local anesthesia by using a simple technique with a very low complication rate. The catheters can remain in place for prolonged periods without significant risks.

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