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Guidewire assisted cephalic vein cutdown for insertion of totally implantable access ports
Author(s) -
Chang H.M.,
Hsieh H.F.,
Hsu S.D.,
Liao G.S.,
Lin C.H.,
Hsieh C.B.,
Yu J.C.
Publication year - 2007
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.20584
Subject(s) - medicine , cephalic vein , catheter , surgery , superior vena cava , vein , stenosis , radiology
Abstract Background Totally implantable access ports (TIAP) placed by the cephalic vein cutdown technique have high failure rates. Methods We describe a guidewire assisted technique of the cephalic vein cutdown for TIAP placement that can be easily introduced catheter when difficulties in insertion of the catheter. The key point of the presented technique is the use of J guidewire to go beyond the stenosis and advancement of catheter through the guidewire into the superior vena cava. Results We used this technique for introducing the catheter in six patients without failure or complication. Conclusion The presented technique is easy and simple. It can be used where there are difficulties in insertion of the catheter by cephalic vein cutdown method. J. Surg. Oncol. 2007;95:156–157. © 2007 Wiley‐Liss, Inc.