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High pressure versus standard port system: Comparison of implantation and complications.
MedLine Citation:
PMID:  23043572     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
INTRODUCTION: Completely implantable access ports for high pressure contrast media injection have been in use in clinical routine for a relatively short time. The purpose of our study was to compare a high pressure port system with a standard port system with regard to implantation and complications.
METHODS: In 94 oncological patients a completely implantable access port was implanted. Patients (n = 49) planned for oncological follow-up computed tomography (CT) received a high pressure port system. Other patients (n = 45) received a standard port system. Intrainterventional pain perception, postinterventional catheter tip migration and complications were analyzed.
RESULTS: No major periinterventional complications occurred. Intrainterventional pain perception was not significantly different between the two groups. A significantly lower rate of tip migration was observed in the high pressure port group (P = 0.03) and when the port system was implanted on the right side (P = 0.03). In the standard port group catheter occlusion occurred in three patients (7%) and a catheter loop in one patient (2%) whereas no such complications occurred within the high pressure port group. Venous thrombosis was detected in one patient (2%) with a high pressure port; this did not occur in the standard port group.
CONCLUSIONS: Implantation and use of a high pressure port device is safe and reliable: the complications are comparable to those of a standard port device. High pressure port systems should be considered for implantation, especially in patients who will require frequent CTs.
Authors:
Cédric Plumhans; Christina Ocklenburg; Frederik A Verburg; Rolf W Günther; Florian F Behrendt
Publication Detail:
Type:  Journal Article     Date:  2012-09-07
Journal Detail:
Title:  Journal of medical imaging and radiation oncology     Volume:  56     ISSN:  1754-9485     ISO Abbreviation:  J Med Imaging Radiat Oncol     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101469340     Medline TA:  J Med Imaging Radiat Oncol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  532-7     Citation Subset:  IM    
Copyright Information:
© 2012 The Authors. Journal of Medical Imaging and Radiation Oncology © 2012 The Royal Australian and New Zealand College of Radiologists.
Affiliation:
Departments of Radiology, University Hospital, RWTH-Aachen University, Aachen, Germany.
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