Image-guided chemoport insertion by interventional radiologists: A single-center experience on periprocedural complications

Purpose: To report our early experience in image-guided chemoport insertions by interventional radiologists. Materials and Methods: This was a cross-sectional study conducted in a tertiary center with 161 chemoport insertions done from June 2008 to June 2010. The chemoports were inserted either...

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Main Authors: Yaacob, Yazmin, Nguyen, DangV, Md Ralib @ Md Raghib, Ahmad Razali, Muda, Sobri, Zakaria, Rozman, Mohamed, Zahiah
Format: Article
Language:English
Published: PubMed Index 2013
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Online Access:http://irep.iium.edu.my/34659/
http://irep.iium.edu.my/34659/
http://irep.iium.edu.my/34659/1/Indian_J_Radiol_Imaging_2013_Yaacob.pdf
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spelling iium-346592014-12-17T02:05:27Z http://irep.iium.edu.my/34659/ Image-guided chemoport insertion by interventional radiologists: A single-center experience on periprocedural complications Yaacob, Yazmin Nguyen, DangV Md Ralib @ Md Raghib, Ahmad Razali Muda, Sobri Zakaria, Rozman Mohamed, Zahiah RD Surgery Purpose: To report our early experience in image-guided chemoport insertions by interventional radiologists. Materials and Methods: This was a cross-sectional study conducted in a tertiary center with 161 chemoport insertions done from June 2008 to June 2010. The chemoports were inserted either at the angiography suite or at the mobile operation theater unit. Ninety percent of the chemoports had right internal jugular vein (IJV) as the entry site. Other entry sites included the left IJV, subclavian veins and the inferior vena cava. Immediate and early complications were recorded. All insertions were performed under image guidance with the aid of ultrasound and fluoroscopy. Results: The technical success rate was 99.4%. In terms of immediate complications, there were only two cases of arterial puncture that resolved with local compression. No pneumothorax or air embolism was documented. Twenty-six early complications were recorded. The most common early complication was catheter blockage (12/161; 7.4%), followed by catheter-related infection (9/161; 5.6%). Other complications were catheter malposition, venous thrombosis and catheter dislodgement or leak. A total of 11 (6.8%) chemoports had to be removed within 30 days; most of them were due to infections that failed to respond to systemic antibiotic therapy. In terms of place of procedure, there were no significant differences in complication rates between the angiography suite and the mobile operation theater unit. Conclusion: Image-guided chemoport insertion by interventional radiologist gives low periprocedural complication rates. Using right IJV as the entry site, the image guidance gives good success rate with least complication. PubMed Index 2013-05 Article PeerReviewed application/pdf en http://irep.iium.edu.my/34659/1/Indian_J_Radiol_Imaging_2013_Yaacob.pdf Yaacob, Yazmin and Nguyen, DangV and Md Ralib @ Md Raghib, Ahmad Razali and Muda, Sobri and Zakaria, Rozman and Mohamed, Zahiah (2013) Image-guided chemoport insertion by interventional radiologists: A single-center experience on periprocedural complications. Indian Journal of Radiology and Imaging , 23 (2). pp. 121-125. ISSN 0971-3026 http://www.ijri.org/showBackIssue.asp?issn=0971-3026;year=2013;volume=23;issue=2;month=April-June
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic RD Surgery
spellingShingle RD Surgery
Yaacob, Yazmin
Nguyen, DangV
Md Ralib @ Md Raghib, Ahmad Razali
Muda, Sobri
Zakaria, Rozman
Mohamed, Zahiah
Image-guided chemoport insertion by interventional radiologists: A single-center experience on periprocedural complications
description Purpose: To report our early experience in image-guided chemoport insertions by interventional radiologists. Materials and Methods: This was a cross-sectional study conducted in a tertiary center with 161 chemoport insertions done from June 2008 to June 2010. The chemoports were inserted either at the angiography suite or at the mobile operation theater unit. Ninety percent of the chemoports had right internal jugular vein (IJV) as the entry site. Other entry sites included the left IJV, subclavian veins and the inferior vena cava. Immediate and early complications were recorded. All insertions were performed under image guidance with the aid of ultrasound and fluoroscopy. Results: The technical success rate was 99.4%. In terms of immediate complications, there were only two cases of arterial puncture that resolved with local compression. No pneumothorax or air embolism was documented. Twenty-six early complications were recorded. The most common early complication was catheter blockage (12/161; 7.4%), followed by catheter-related infection (9/161; 5.6%). Other complications were catheter malposition, venous thrombosis and catheter dislodgement or leak. A total of 11 (6.8%) chemoports had to be removed within 30 days; most of them were due to infections that failed to respond to systemic antibiotic therapy. In terms of place of procedure, there were no significant differences in complication rates between the angiography suite and the mobile operation theater unit. Conclusion: Image-guided chemoport insertion by interventional radiologist gives low periprocedural complication rates. Using right IJV as the entry site, the image guidance gives good success rate with least complication.
format Article
author Yaacob, Yazmin
Nguyen, DangV
Md Ralib @ Md Raghib, Ahmad Razali
Muda, Sobri
Zakaria, Rozman
Mohamed, Zahiah
author_facet Yaacob, Yazmin
Nguyen, DangV
Md Ralib @ Md Raghib, Ahmad Razali
Muda, Sobri
Zakaria, Rozman
Mohamed, Zahiah
author_sort Yaacob, Yazmin
title Image-guided chemoport insertion by interventional radiologists: A single-center experience on periprocedural complications
title_short Image-guided chemoport insertion by interventional radiologists: A single-center experience on periprocedural complications
title_full Image-guided chemoport insertion by interventional radiologists: A single-center experience on periprocedural complications
title_fullStr Image-guided chemoport insertion by interventional radiologists: A single-center experience on periprocedural complications
title_full_unstemmed Image-guided chemoport insertion by interventional radiologists: A single-center experience on periprocedural complications
title_sort image-guided chemoport insertion by interventional radiologists: a single-center experience on periprocedural complications
publisher PubMed Index
publishDate 2013
url http://irep.iium.edu.my/34659/
http://irep.iium.edu.my/34659/
http://irep.iium.edu.my/34659/1/Indian_J_Radiol_Imaging_2013_Yaacob.pdf
first_indexed 2023-09-18T20:49:53Z
last_indexed 2023-09-18T20:49:53Z
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