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Title   종양 환자에서 방사선 중재술을 활용한 포트 삽입 45 예의 분석 ( Radiologic Placement of Subcutaneous Infusion Ports in Cancer Patients: Analysis of 45 Cases )
Publicationinfo   2000 Jan; 032(06): 1115-1122.
Key_word   Subcutaneous infusion port , Radiologic placement
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Abstract   Purpose: We undertook this study to evaluate the usefullness of radiologic placement of subcutaneous infusion ports (SIP). Materials and Methods: Between August 1999 and May 2000 we performed 45 implantations of SIP in radiologic suite. Both sonography and fluoroscopy were used for venipuncture and to guide port insertion. We prospectively evaluated 45 systems in 45 patients with solid tumors. Results: Median follow-up time was 189 days (61-352 days). Technical success rate is 100% without any venipuncture-related complications. Early complication rate within 30 days of procedure was 4.4%, including wound dehiscence (n = 1) and pocket hematoma and local infection (n = 1). Catheter-related infection rate was 6.7% and catheter-related venous thrombosis rate was 4.4%. Mean duration of catheter use was 208+96 days (total, 9,381 days). Overall port survival rate was 38.5%, and four systems (8.9Fo) were prematurely removed because of catheter tunnel infection (n 1), pocket infection (n 1), and central venous thrombosis (n = 2). Conclusion: Radiologic placement of SIP had higher success rate and equal or lower complication rate compared with reported conventional surgical technique using anatomical landmarks. Moreover, clinical convenience, resulting from ease of scheduling could make it replace surgical method.
저 자   조석구(Seok Goo Cho),김춘추(Chun Choo Kim),김상흠(Sang Heum Kim),송하헌(Ha Hun Song),송선화(Sun Hwa Song),이관형(Kwan Hyong Lee),정대영(Dae Young Chung),이혜정(Hye Jung Lee),김설혜(Sul Hye Kim),김기태(Ki Tae Kim)